Morteza Khaladj, PODIATRIST DP.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00179900 Issued in NJ

Practice address

9 Lamington Rd
Branchburg, NJ 08876

Phone

(908) 625-1042

Fax

(908) 355-4400

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12234/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Branchburg Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Branchburg, NJ
  • NPI 1669202453

  Foot & Ankle Surgery, NJ

  Medicare reassignment NPD Authorized official
• Elizabeth Foot and Ankle Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Elizabeth, NJ
  • NPI 1679889562

  Foot & Ankle Surgery, NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1124055116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VALLEY VIEW AVE",
            "city": "GLADSTONE",
            "state": "NJ",
            "postal_code": "07934",
            "telephone_number": "908-625-1042",
            "fax_number": "908-355-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAMINGTON RD",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-625-1042",
            "fax_number": "908-355-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALADJ",
        "first_name": "MORTEZA",
        "name_prefix": "Mr.",
        "credential": "PODIATRIST DP.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00179900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Juliano, MA, LPC, LPAT, ACS
• Vasanthi Kachirayan, M.D.,
• Samantha Kacsur, LCSW
• Aruna Karra
• Laura Keiles, ND, CTN, LMBT
• Kim a. Sommer L.L.C.
• Yoonie Kim, APN
• Kingsley Road Wellness LLC
• Laura Kissane, PA-C
• Brittany Nicole Klipstein, LCSW

• All providers in Branchburg, NJ
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.