Individual provider Active NPI

Anas Khoury, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Passaic, NJ
National Provider Identifier
1841277571
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00272000 Issued in NJ
Practice address
235 Main Ave
Passaic, NJ 07055-5501
Phone
(973) 473-6665
Fax
(973) 471-7308
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00272000 NJ Primary

Addresses

Primary practice location

235 Main Ave
Passaic, NJ 07055-5501

Mailing address

235 Main Ave
Passaic, NJ 07055-5501
Phone (973) 473-6665

Other identifiers 1

IdentifierTypeStateIssuer
0011533MedicaidNJ

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
I20060120000593 NJ Practitioner - Podiatry 8022032721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 Main Ave
Passaic, NJ 07055-5501
Phone (973) 473-6665

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue337
Removal or shaving of skin growth314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pedirite Medical NJ LLC CurrentSince Nov 1, 2022 Accepting new patients
Northeastern Foot & Ankle Specialists, PC Foot & Ankle Surgery CurrentSince Nov 14, 2005 Accepting new patients
Foot Forward Podiatry PC CurrentSince Jan 4, 2023 Accepting new patients
Foot Forward Podiatry, LLC Foot & Ankle Surgery Past Accepting new patients
Broadway Foot and Ankle Ctr PA Foot & Ankle Surgery Past Accepting new patients

Locations

1700 Wynwood Dr
Cinnaminson, NJ 08077
Phone (215) 336-4869

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

235 Main Ave
Passaic, NJ 07055
Phone (973) 473-6665

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Interoperability endpoints

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

Organizations & group practices 5

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1841277571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555501",
            "telephone_number": "973-473-6665",
            "fax_number": "973-471-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555501",
            "telephone_number": "973-473-6665",
            "fax_number": "973-471-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00272000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011533",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.