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NORTHEASTERN FOOT & ANKLE SPECIALISTS, PC
NPI 1265505077
Podiatrist - Foot & Ankle Surgery in Passaic, NJ

Active since November 17, 2006
235 MAIN AVE, PASSAIC, NJ 07055(973) 473-6665(973) 471-7308 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeastern Foot & Ankle Specialists, Pc NPPES

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

NORTHEASTERN FOOT & ANKLE SPECIALISTS, PC (NPI 1265505077) is a healthcare organization registered as a foot & ankle surgery in Passaic, New Jersey and active in the NPI registry since November 2006. The organization lists Anas Khoury, President, as its authorized official.

NPPES Registry Identity

NPI1265505077
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameNORTHEASTERN FOOT & ANKLE SPECIALISTS, PC
Location Address235 MAIN AVEPassaic, NJ 07055-5501
Mailing Address235 Main AvePassaic, NJ 07055-5501 · (973) 473-6665 · Fax (973) 471-7308
Phone(973) 473-6665
Fax(973) 471-7308
Organization SubpartNo
Authorized OfficialAnas KhouryPresident · (973) 473-6665
Enumeration DateNovember 17, 2006
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1265505077 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 · 25MD00272000
235 MAIN AVE, Passaic, NJ 07055
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINU93925NJ
Medicare NSC5771950001NJ
Medicaid0011533NJ
Medicare PIN097552NJ

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 the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeastern Foot & Ankle Specialists, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeastern Foot & Ankle Specialists, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anas Khoury, D.P.M.
Podiatry
NPI 1841277571
235 MAIN AVE
Passaic, NJ 07055
(973) 473-6665
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northeastern Foot & Ankle Specialists, PC's NPI number?

The NPI number for Northeastern Foot & Ankle Specialists, PC is 1265505077. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Northeastern Foot & Ankle Specialists, PC located?

Northeastern Foot & Ankle Specialists, PC is located at 235 Main Ave, Passaic, NJ 07055. The listed phone number is (973) 473-6665.

What is Northeastern Foot & Ankle Specialists, PC's specialty?

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

Is Northeastern Foot & Ankle Specialists, PC enrolled in Medicare?

Yes. Northeastern Foot & Ankle Specialists, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeastern Foot & Ankle Specialists, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Northeastern Foot & Ankle Specialists, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeastern Foot & Ankle Specialists, PC was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.