Active NPI
Adeen Shakil Khokhar, DPM
- Foot & Ankle Surgery Podiatrist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00359500
- Practice address
- 268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011 - Phone
- (973) 877-5080
- NPI assigned
- Apr 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NJ | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00359500 | NJ | Primary |
Addresses
Primary practice location
268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Mailing address
2365 Boston Post Rd
Ste 200
Larchmont, NY 10538-3559
Phone (914) 834-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Central Ave
FL 3
Newark, NJ 07102-1909
Phone (201) 445-2288
2365 Boston Post Rd
Suite 200
Larchmont, NY 10538-3559
Phone (914) 834-0111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 83.84
- Promoting interoperability
- 87
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 189 |
| Removal of skin lesions | 67 |
| Removal of nail tissue | 676 |
| Removal or shaving of skin growth | 609 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00359500 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Foot and Ankle | Foot & Ankle Surgery | Current | Accepting new patients |
| Proactive Foot and Ankle | Current | Accepting new patients | |
| South Westchester Vein & Vascular PLLC | Current | Accepting new patients | |
| Larchmont Podiatry PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Curalta Medical LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Curalta Medical LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
111 Central Ave
Fl 3
Newark, NJ 07102
Phone (973) 266-9111
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
111 Central Ave
Bldg B
Newark, NJ 07102
Phone (973) 624-4908
74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113
400 State Rt 17
Ste 2
Ridgewood, NJ 07450
Phone (201) 445-2288
400 State Rt 17
Ridgewood, NJ 07450
Phone (201) 445-2288
504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600
2365 Boston Post Rd
Ste 200
Larchmont, NY 10538
Phone (914) 200-1586
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
dba Certified Foot Care
- Podiatric Clinic/Center
- Larchmont, NY
- NPI 1891241725
Foot & Ankle Surgery
-
- Durable Medical Equipment & Medical Supplies
- Millburn, NJ
- NPI 1679303366
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Park Ridge, NJ
- NPI 1639699325
-
- Durable Medical Equipment & Medical Supplies
- Old Tappan, NJ
- NPI 1710477864
-
dba Swift Vein and Vascular
- Vascular & Interventional Radiology Physician
- Bronx, NY
- NPI 1548940273
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621728000000",
"number": "1215425020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 BOSTON POST RD",
"address_2": "STE 200",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105383559",
"telephone_number": "914-834-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 DR MARTIN LUTHER KING JR BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022011",
"telephone_number": "973-877-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOKHAR",
"first_name": "ADEEN",
"middle_name": "SHAKIL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-26",
"last_updated": "2021-05-23",
"certification_date": "2021-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00359500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.