FOOT AND ANKLE CENTER OF FORT LEE, LLC
NPI 1285051797
Podiatrist - Foot & Ankle Surgery in Flushing, NY

Active since March 21, 2014
14402 JEWEL AVE, SUITE A, FLUSHING, NY 11367(718) 263-3668(718) 263-0028 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1285051797) is a healthcare organization registered as a foot & ankle surgery in Flushing, New York and active in the NPI registry since March 2014. The organization lists Gavriil Khaimov, President, as its authorized official.

NPPES Registry Identity

NPI1285051797
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFOOT AND ANKLE CENTER OF FORT LEE PODIATRY
Location Address14402 JEWEL AVE, SUITE AFlushing, NY 11367-1744
Mailing Address14402 Jewel Ave, Suite AFlushing, NY 11367-1744 · (718) 263-3668 · Fax (718) 263-0028
Fax(718) 263-0028
Organization SubpartNo
Authorized OfficialGavriil KhaimovPresident · (201) 363-9844
Enumeration DateMarch 21, 2014
NPI 1285051797 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 NY · N006045
14402 JEWEL AVE, Flushing, NY 11367

Other Names 1

Other NameFoot And Ankle Center Of Fort Lee, Llc

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

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.

Pediatrics
14402 JEWEL AVE
FLUSHING, NY 11367
Pediatrics
14402 JEWEL AVE
FLUSHING, NY 11367
Pediatrics
14402 JEWEL AVE
FLUSHING, NY 11367

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 Podiatry's NPI number?

The NPI number for Foot And Ankle Center Of Fort Lee Podiatry is 1285051797. It was assigned to this organization in the NPPES registry on March 21, 2014. The provider is also known as Foot And Ankle Center Of Fort Lee, LLC.

Where is Foot And Ankle Center Of Fort Lee Podiatry located?

Foot And Ankle Center Of Fort Lee Podiatry is located at 14402 Jewel Ave Suite A, Flushing, NY 11367. The listed phone number is (718) 263-3668.

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

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

When was this NPI record last updated?

The NPPES record for Foot And Ankle Center Of Fort Lee Podiatry was last updated on March 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.