Individual provider Active NPI

Ibrahim Elkattawy

  • Foot & Ankle Surgery Podiatrist
  • Jersey City, NJ
National Provider Identifier
1861980138
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00359200 Issued in NJ
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

Updated by the provider on Aug 11, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708002532 NJ Practitioner - Podiatry 4880939545 Reassigns benefits to 3 organizations
Practice locations: Jersey City, NJ

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
Pedirite Medical NJ LLCGroup PAC ID 1052743184, 14 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue123
Removal of skin lesions1-10
Removal of nail tissue754
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Foot & Ankle Centers, P.C. Foot & Ankle Surgery CurrentSince Jun 28, 2021 Accepting new patients
Premier Lower Limb Clinic Corp Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Pedirite Medical NJ LLC CurrentSince Jan 18, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.