Foot and Ankle Center of Nj & Ny LLC
NPI 1356123293ActiveOrganization· Podiatrist· Fort Lee, NJ
Podiatrist in Fort Lee, New Jersey, registered in NPPES in October 2023. The authorized official on file is Gavriil Khaimov, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1356123293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2023 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY) |
|---|
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