Organization Active NPI

Optimal Ankle & Foot LLC

  • Podiatrist
  • Wayne, NJ
National Provider Identifier
1184022642
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OPTIMAL ANKLE & FOOT LLC
Practice address
1211 Hamburg Tpke
Suite 100
Wayne, NJ 07470-5043
Phone
(973) 692-1111
NPI assigned
Dec 16, 2014
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Affan AkhtarNPI 1447440292
Title
Managing Member
Phone
(201) 692-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1211 Hamburg Tpke
Suite 100
Wayne, NJ 07470-5043

Mailing address

1211 Hamburg Tpke
Suite 100
Wayne, NJ 07470-5043
Phone (973) 692-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150416000958 NJ Part B Supplier - Clinic/Group Practice 6709104052 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Lee, NJ; Wayne, NJ

National Provider Directory

National Provider Directory

Locations

1636 Parker Ave
Ste 3
Fort Lee, NJ 07024
Phone (973) 630-6666

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1184022642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HAMBURG TPKE",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705043",
            "telephone_number": "973-692-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HAMBURG TPKE",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705043",
            "telephone_number": "973-692-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL ANKLE & FOOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "AFFAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-692-1111"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.