Active NPI
Ibrahim Elkattawy
- Foot & Ankle Surgery Podiatrist
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00359200
- Practice address
- 2761 John F Kennedy Blvd
Jersey City, NJ 07306-5515 - Phone
- (201) 707-1378
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00359200 | NJ | 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 NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2761 John F Kennedy Blvd
Jersey City, NJ 07306-5515
Phone (201) 707-1378
300 Broadway
Newark, NJ 07104-8000
Phone (212) 764-0008
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 123 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 754 |
| Removal or shaving of skin growth | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Foot & Ankle Centers, P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
| Premier Lower Limb Clinic Corp | Foot & Ankle Surgery | Current | Accepting new patients |
| Pedirite Medical NJ LLC | Current | Accepting new patients |
Locations
1700 Wynwood Dr
Cinnaminson, NJ 08077
Phone (215) 336-4869
2761 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 653-7030
3000 John F Kennedy Blvd
Ste 316
Jersey City, NJ 07306
Phone (201) 963-0200
300 Broadway
Newark, NJ 07104
Phone (973) 484-4222
550 Kinderkamack Rd
Ste 201
Oradell, NJ 07649
Phone (201) 261-9445
680 Kinderkamack Rd
Ste 204
Oradell, NJ 07649
Phone (201) 261-9445
400 Old Hook Rd
Westwood, NJ 07675
Phone (201) 261-9445
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Jersey City, NJ
- NPI 1598540155
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1861980138",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKATTAWY",
"first_name": "IBRAHIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00359200",
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.