Individual provider Active NPI

Adeen Shakil Khokhar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Newark, NJ
National Provider Identifier
1215425020
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00359500 Issued in NJ
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

Updated by the provider on May 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20210329000030 NJ Practitioner - Podiatry 8820405442 Reassigns benefits to 1 organization
I20210525001209 NY Practitioner - Podiatry 8820405442 Reassigns benefits to 1 organization

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
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians
Larchmont Podiatry PLLCGroup PAC ID 5890083984, 4 clinicians

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 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue189
Removal of skin lesions67
Removal of nail tissue676
Removal or shaving of skin growth609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00359500NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle Foot & Ankle Surgery CurrentSince Jul 2, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Jul 2, 2022 Accepting new patients
South Westchester Vein & Vascular PLLC CurrentSince Jul 1, 2023 Accepting new patients
Larchmont Podiatry PLLC Foot & Ankle Surgery CurrentSince May 20, 2021 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Feb 16, 2022 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Feb 16, 2022 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.