Individual provider Active NPI

Yakov Haimof, DPM

  • Foot Surgery Podiatrist
  • Fort Lee, NJ
National Provider Identifier
1366821019
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00325300 Issued in NJ
Practice address
185 Bridge PLZ N
Suite 4
Fort Lee, NJ 07024-5907
Phone
(201) 363-9844
Fax
(201) 363-9662
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00325300 NJ Primary

Addresses

Primary practice location

185 Bridge PLZ N
Suite 4
Fort Lee, NJ 07024-5907

Mailing address

185 Bridge PLZ N
Suite 4
Fort Lee, NJ 07024-5907
Phone (201) 363-9844

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151208000733 NJ Practitioner - Podiatry 3971803321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00325300NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of NJ & Ny LLC Foot Surgery CurrentSince May 19, 2024 Accepting new patients

Locations

2225 Lemoine Ave
#1
Fort Lee, NJ 07024
Phone (201) 363-9844

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1366821019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BRIDGE PLZ N",
            "address_2": "SUITE 4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245907",
            "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": "185 BRIDGE PLZ N",
            "address_2": "SUITE 4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245907",
            "telephone_number": "201-363-9844",
            "fax_number": "201-363-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIMOF",
        "first_name": "YAKOV",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00325300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.