Individual provider Active NPI

Ankur Bahri, DPM

  • Foot & Ankle Surgery Podiatrist
  • Perth Amboy, NJ
National Provider Identifier
1003291907
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00342900 Issued in NJ
Practice address
485 New Brunswick Ave Ste 102
Perth Amboy, NJ 08861-3675
Phone
(732) 946-3000
Fax
(732) 820-4700
NPI assigned
Jul 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006951-1 NY
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00342900 NJ Primary

Addresses

Primary practice location

485 New Brunswick Ave Ste 102
Perth Amboy, NJ 08861-3675

Mailing address

18 Faulkner Dr
Westfield, NJ 07090-2856
Phone (732) 946-3000

Other identifiers 2

IdentifierTypeStateIssuer
N006951-1OtherNYNYS PODIATRY LICENSE
25MD00342900OtherNJNJ PODIATRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201104002605 NJ Practitioner - Podiatry 2769801174 Reassigns benefits to 4 organizations
I20210617000505 NY Practitioner - Podiatry 2769801174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialized Foot and Ankle Care IncGroup PAC ID 0840646071, 2 clinicians

Practice addresses (Care Compare)

35 -37 Progress St
Suite A3
Edison, NJ 08820-1179
Phone (908) 755-9797

76 Battery Ave
Suite 1
Brooklyn, NY 11228-3555
Phone (732) 946-3000

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue229
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00342900NJMDFoot & Ankle Surgery Podiatrist
006951NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jeresy Nephorology Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Specialized Foot and Ankle Care Inc Single Specialty CurrentSince Dec 30, 2023 Accepting new patients
Bahri Podiatry LLC Single Specialty CurrentSince Aug 21, 2020 Accepting new patients
North Edison Family Practice Group, LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients

Locations

125 Washington Ave
Carteret, NJ 07008
Phone (201) 687-1208

35-37 Progress St
Ste A3
Edison, NJ 08820
Phone (908) 458-3928

485 New Brunswick Ave
#102
Perth Amboy, NJ 08861

485 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-4290

485 New Brunswick Ave
Ste 102
Perth Amboy, NJ 08861
Phone (732) 946-3000

76 Battery Ave
Ste 1
Brooklyn, NY 11228
Phone (718) 836-5706

115 E 61st St
New York, NY 10065
Phone (212) 486-6715

115 E 61st St
Bsmt
New York, NY 10065

115 E 61st St
Lowr
New York, NY 10065
Phone (646) 828-8004

11 Ralph Pl
Ste 302
Staten Island, NY 10304
Phone (718) 273-4300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEIBA/Endpoint/HIEIBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1003291907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FAULKNER DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902856",
            "telephone_number": "732-946-3000",
            "fax_number": "732-820-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 NEW BRUNSWICK AVE STE 102",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613675",
            "telephone_number": "732-946-3000",
            "fax_number": "732-820-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHRI",
        "first_name": "ANKUR",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006951-1",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00342900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PODIATRY LICENSE",
            "identifier": "N006951-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PODIATRY LICENSE",
            "identifier": "25MD00342900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.