PODIATRIC FOOT AND ANKLE SURGEON, LLC
NPI 1871739607
Clinic/Center - Podiatric in Hackensack, NJ
About Podiatric Foot And Ankle Surgeon, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PODIATRIC FOOT AND ANKLE SURGEON, LLC (NPI 1871739607) is a healthcare organization registered as a podiatric in Hackensack, New Jersey and active in the NPI registry since December 2008. The organization lists Charles G Bahdi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Podiatric Foot And Ankle Surgeon, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Podiatric Foot And Ankle Surgeon, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Podiatric Foot And Ankle Surgeon, LLC's NPI number?
The NPI number for Podiatric Foot And Ankle Surgeon, LLC is 1871739607. It was assigned to this organization in the NPPES registry on December 29, 2008.
Where is Podiatric Foot And Ankle Surgeon, LLC located?
Podiatric Foot And Ankle Surgeon, LLC is located at 380 Sutton Ave, Hackensack, NJ 07601. The listed phone number is (201) 657-2465.
What is Podiatric Foot And Ankle Surgeon, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Podiatric Foot And Ankle Surgeon, LLC enrolled in Medicare?
Yes. Podiatric Foot And Ankle Surgeon, LLC is registered in the Medicare PECOS enrollment system.
When is Podiatric Foot And Ankle Surgeon, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 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.
How many clinicians bill Medicare through Podiatric Foot And Ankle Surgeon, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Podiatric Foot And Ankle Surgeon, 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 Podiatric Foot And Ankle Surgeon, LLC was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Podiatric Foot And Ankle Surgeon, Llc · NPI 1871739607
Podiatric organization in Hackensack, New Jersey. Organization record, active in the CMS NPPES registry since December 29, 2008.
## Identity
- **NPI:** 1871739607 (Entity type: Organization)
- **Enumerated:** December 29, 2008
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Charles Bahdi, OWNER
## Practice location
- **Address:** 380 SUTTON AVE, Hackensack, NJ 07601-1829
- **Phone:** (201) 657-2465 · **Fax:** (201) 488-8646
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1871739607) · Data from the CMS NPPES public registry.