Organization Active NPI

Premier Lower Limb Clinic Corp

  • Foot & Ankle Surgery Podiatrist
  • Jersey City, NJ
National Provider Identifier
1598540155
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PREMIER LOWER LIMB CLINIC CORP
Practice address
2761 John F Kennedy Blvd
Jersey City, NJ 07306-5515
Phone
(201) 707-1378
Fax
(682) 316-9141
NPI assigned
Aug 30, 2023
Last updated
Aug 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Authorized official

Name
Dr. Ibrahim Elkattawy, DPMNPI 1861980138
Title
President
Phone
(201) 707-1378

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
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

2761 John F Kennedy Blvd
Jersey City, NJ 07306-5515

Mailing address

2761 John F Kennedy Blvd
Jersey City, NJ 07306-5515
Phone (201) 707-1378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231005001679 NJ Part B Supplier - Clinic/Group Practice 1759736135 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ
O20250107001521 NJ DME Supplier - Physician - Podiatry 1759736135 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

645 Newark Ave
#O8242
Jersey City, NJ 07306

Practitioners & affiliated clinicians

Practitioners 1

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": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756598400000",
    "number": "1598540155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065515",
            "telephone_number": "201-707-1378",
            "fax_number": "682-316-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065515",
            "telephone_number": "201-707-1378",
            "fax_number": "682-316-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LOWER LIMB CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "ELKATTAWY",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-707-1378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.