Individual provider Active NPI

Affan Akhtar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
National Provider Identifier
1447440292
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00293500 Issued in NJ
Practice address
1211 Hamburg Tpke
Suite 100
Wayne, NJ 07470-5043
Phone
(973) 692-1111
Fax
(973) 692-1234
NPI assigned
Jul 27, 2007
Last updated
May 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 25MD00293500 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00293500 NJ 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
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
I20071130000232 NJ Practitioner - Podiatry 2769571611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Ankle and Foot LLCGroup PAC ID 6709104052, 2 clinicians

Practice addresses (Care Compare)

1211 Hamburg Tpke
Suite 100
Wayne, NJ 07470-5040
Phone (973) 692-1113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue33
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00293500NJMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Ankle & Foot LLC CurrentSince Jan 14, 2015 Accepting new patients
Tri State Medical Management Foot & Ankle Surgery PastSince Dec 5, 2021 Accepting new patients

Locations

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

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1447440292",
    "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",
            "fax_number": "973-692-1234"
        },
        {
            "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",
            "fax_number": "973-692-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "AFFAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "25MD00293500",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00293500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.