Foot and Ankle Center of Fort Lee, LLC

Key facts

NPI

1043495641

Entity type

Organization (NPI type 2)

Primary specialty

Foot & Ankle Surgery Podiatrist 213ES0103X

License

25MD00295000 (NJ)

Legal business name

FOOT AND ANKLE CENTER OF FORT LEE, LLC

Practice address

2225 Lemoine Ave FL 1
Fort Lee, NJ 07024-6104

Phone

(201) 363-9844

Fax

(201) 363-9662

NPI assigned

Jan 2, 2008

Organization subpart

No

Authorized official

Name

Dr. Gavriil Khaimov, DPM

Title

President

Phone

(201) 363-9844

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex Gilels, DPM Podiatrist · Paramus, NJ · NPI 1740310317
  NPD (past) PODIATRIST
• Josephine Kleyner, D.P.M. Foot & Ankle Surgery Podiatrist · Brooklyn, NY · NPI 1841592540
  NPD (past) FOOT & ANKLE SURGERY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2026.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1043495641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 LEMOINE AVE STE 4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246104",
            "telephone_number": "201-363-9844",
            "fax_number": "201-363-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 LEMOINE AVE FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246104",
            "telephone_number": "201-363-9844",
            "fax_number": "201-363-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF FORT LEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "GAVRIIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-363-9844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00295000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

• Firstmed of NJ LLC
• Firstrowe Therapies LLC
• Jennifer Renee Fitzgibbons
• Gary Flink, M.S.P.T.
• Sonia Blanco Florentino
• Foot and Ankle Center of NJ & Ny LLC
• Fordham-Lewis Consulting, L.L.C.
• Fordham-Lewis Consulting, L.L.C.
• Forever Home Care LLC
• Fort Lee Board of Education

All providers in Fort Lee, NJ · Foot & Ankle Surgery Podiatrist in New Jersey