Foot and Ankle Center of Fort Lee, LLC
NPI 1043495641ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Fort Lee, NJ
Podiatrist, Foot & Ankle Surgery in Fort Lee, New Jersey, registered in NPPES in January 2008. The authorized official on file is Gavriil Khaimov, DPM, President. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1043495641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2008 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 25MD00295000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (NJ) |
|---|
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