MUNTASIR KHALED, DPM LLC
NPI 1801475223
Podiatrist - Foot & Ankle Surgery in Bloomfield, NJ

Q: What is Muntasir Khaled, Dpm LLC's NPI number?

The NPI number for Muntasir Khaled, Dpm LLC is 1801475223. It was assigned to this organization in the NPPES registry on April 4, 2021. The provider is doing business as Foot and Ankle Specialists of North Jersey.

Q: What is Muntasir Khaled, Dpm LLC's specialty?

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

Active since April 04, 2021

309 MEMORIAL PKWY, BLOOMFIELD, NJ 07003(973) 570-8819(973) 588-3119 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2023, Apr 15, 2021, Apr 4, 2021 (3 updates tracked since 2021).

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About Muntasir Khaled, Dpm Llc NPPES

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

MUNTASIR KHALED, DPM LLC (NPI 1801475223) is a healthcare organization registered as a foot & ankle surgery in Bloomfield, New Jersey and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Florham Park and lists Muntasir Khaled, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1801475223

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameMUNTASIR KHALED, DPM LLC

Location Address309 MEMORIAL PKWYBloomfield, NJ 07003-4264

Mailing Address309 Memorial PkwyBloomfield, NJ 07003-4264 · (973) 873-0211 · Fax (973) 588-3119

Phone(973) 570-8819

Fax(973) 588-3119

Organization SubpartNo

Authorized OfficialMuntasir KhaledOwner/ceo · (973) 873-0211

Enumeration DateApril 4, 2021

Last NPPES UpdateFebruary 6, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2023

✔ NPI 1801475223 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

309 MEMORIAL PKWY, Bloomfield, NJ 07003

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Other Names 2

Doing Business AsMuntasir Khaled, Dpm Llc

Doing Business AsFoot And Ankle Specialists Of North Jersey

Secondary Practice Location 1

Location 1131 Columbia Tpke Ste 2BFlorham Park, NJ 07932-2181 · Phone (973) 570-8819 · Fax (973) 588-3119

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)

Muntasir Khaled, Dpm Llc 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 Muntasir Khaled, DPM LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Muntasir Khaled, DPM

Podiatry

NPI 1922507003

417 MEMORIAL PKWY
Bloomfield, NJ 07003

(973) 570-8819

✔ PECOS✔ Accepts Medicare0.5 mi

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 Muntasir Khaled, Dpm LLC's NPI number?

The NPI number for Muntasir Khaled, Dpm LLC is 1801475223. It was assigned to this organization in the NPPES registry on April 4, 2021. The provider is doing business as Foot and Ankle Specialists of North Jersey.

Where is Muntasir Khaled, Dpm LLC located?

Muntasir Khaled, Dpm LLC is located at 309 Memorial Pkwy, Bloomfield, NJ 07003. The listed phone number is (973) 570-8819.

What is Muntasir Khaled, Dpm LLC's specialty?

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

Is Muntasir Khaled, Dpm LLC enrolled in Medicare?

Yes. Muntasir Khaled, Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Muntasir Khaled, Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Muntasir Khaled, Dpm LLC. 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 Muntasir Khaled, Dpm LLC was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.