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FOOT AND ANKLE CENTER OF FORT LEE, LLC
NPI 1043495641
Podiatrist - Foot & Ankle Surgery in Fort Lee, NJ

Active since January 02, 2008
2225 LEMOINE AVE FL 1, FORT LEE, NJ 07024(201) 363-9844(201) 363-9662 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Apr 21, 2020 (2 updates tracked since 2020).

About Foot And Ankle Center Of Fort Lee, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOT AND ANKLE CENTER OF FORT LEE, LLC (NPI 1043495641) is a healthcare organization registered as a foot & ankle surgery in Fort Lee, New Jersey and active in the NPI registry since January 2008. The organization lists Gavriil Khaimov, President, as its authorized official.

NPPES Registry Identity

NPI1043495641
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFOOT AND ANKLE CENTER OF FORT LEE, LLC
Location Address2225 LEMOINE AVE FL 1Fort Lee, NJ 07024-6104
Mailing Address2225 Lemoine Ave Ste 4Fort Lee, NJ 07024-6104 · (201) 363-9844 · Fax (201) 363-9662
Phone(201) 363-9844
Fax(201) 363-9662
Organization SubpartNo
Authorized OfficialGavriil KhaimovPresident · (201) 363-9844
Enumeration DateJanuary 2, 2008
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1043495641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00295000
2225 LEMOINE AVE FL 1, Fort Lee, NJ 07024
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foot And Ankle Center Of Fort Lee, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20100930032637DME · Physician - PodiatryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALISADES PARK PODIATRY PC
Podiatrist (Foot & Ankle Surgery)
2225 LEMOINE AVE FL 1
FORT LEE, NJ 07024
Bergen County (347) 997-0485
FOOT AND ANKLE CENTER OF NJ & NY LLC
Podiatrist
2225 LEMOINE AVE FL 1
FORT LEE, NJ 07024
Bergen County (201) 363-9844
KWON PODIATRY NJ PC
Podiatrist
2225 LEMOINE AVE FL 1
FORT LEE, NJ 07024
Bergen County (646) 389-6485

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foot And Ankle Center Of Fort Lee, LLC's NPI number?

The NPI number for Foot And Ankle Center Of Fort Lee, LLC is 1043495641. It was assigned to this organization in the NPPES registry on January 2, 2008.

Where is Foot And Ankle Center Of Fort Lee, LLC located?

Foot And Ankle Center Of Fort Lee, LLC is located at 2225 Lemoine Ave Fl 1, Fort Lee, NJ 07024. The listed phone number is (201) 363-9844.

What is Foot And Ankle Center Of Fort Lee, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Foot And Ankle Center Of Fort Lee, LLC enrolled in Medicare?

Yes. Foot And Ankle Center Of Fort Lee, LLC is registered in the Medicare PECOS enrollment system.

When is Foot And Ankle Center Of Fort Lee, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Center Of Fort Lee, LLC was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.