NPIMap

Organization Active NPI

Larchmont Podiatry PLLC

Doing business as Certified Foot Care

  • Podiatric Clinic/Center
  • Larchmont, NY
National Provider Identifier
1891241725
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
LARCHMONT PODIATRY PLLC
Doing business as
Certified Foot Care
Practice address
2365 Boston Post Rd
Suite 200
Larchmont, NY 10538-3500
Phone
(914) 834-0111
Fax
(914) 834-0259
NPI assigned
Aug 31, 2016
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Dr. Adeen Khokhar, D.P.M.NPI 1215425020
Title
Owner
Phone
(914) 834-0111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary
Sports Medicine Podiatrist 213ES0000X 04132 NY

Addresses

Primary practice location

2365 Boston Post Rd
Suite 200
Larchmont, NY 10538-3500

Mailing address

2365 Boston Post Rd
Suite 200
Larchmont, NY 10538-3500
Phone (914) 834-0111

Other identifiers 2

IdentifierTypeStateIssuer
1730719360OtherNYNPI
07536583MedicaidNY

Other names 1

  • Certified Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20161005000444 NY Part B Supplier - Clinic/Group Practice 5890083984 Receives reassigned benefits from 5 practitioners
Practice locations: Larchmont, NY
O20220426000310 NY DME Supplier - Physician - Podiatry 5890083984 Practice locations: Larchmont, NY
O20250618000524 NJ Part B Supplier - Clinic/Group Practice 5890083984 Receives reassigned benefits from 2 practitioners
Practice locations: Bayonne, NJ
O20250708001521 PA Part B Supplier - Clinic/Group Practice 5890083984 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsburg, PA

National Provider Directory

National Provider Directory

Locations

473 Broadway
Ste 203
Bayonne, NJ 07002
Phone (201) 858-4600

125 State Rd
Silver Spring Township, PA 17050
Phone (914) 834-0111

Practitioners & affiliated clinicians

Practitioners 8

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1891241725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD",
            "address_2": "SUITE 200",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383500",
            "telephone_number": "914-834-0111",
            "fax_number": "914-834-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD",
            "address_2": "SUITE 200",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383500",
            "telephone_number": "914-834-0111",
            "fax_number": "914-834-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "KHOKHAR",
        "authorized_official_first_name": "ADEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-834-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "04132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730719360",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07536583",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.