Muntasir Khaled, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00347000 Issued in NJ

Practice address

417 Memorial Pkwy
Bloomfield, NJ 07003-4266

Phone

(973) 570-8819

NPI assigned

Feb 5, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Podiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union County Health Care Associates LLCGroup PAC ID 2163450958, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Clare's Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Muntasir Khaled, DPM LLC

  dba Foot and Ankle Specialists of North Jersey

  • Foot & Ankle Surgery Podiatrist
  • Bloomfield, NJ
  • NPI 1801475223
  Medicare reassignment NPD Authorized official
• Union County Health Care Associates LLC

  • Internal Medicine Physician
  • Garwood, NJ
  • NPI 1033271291
  Medicare reassignment Care Compare group NPD
• Muntasir Khaled, DPM LLC

  dba Foot and Ankle Specialists of North Jersey

  • Foot & Ankle Surgery Podiatrist
  • Flanders, NJ
  • NPI 1518778232
  NPD (past) Authorized official
• Muntasir Khaled, DPM LLC

  dba Foot & Ankle Specialists No Jersey

  • Foot & Ankle Surgery Podiatrist
  • Florham Park, NJ
  • NPI 1932917002
  NPD (past) Authorized official

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

• Prime Healthcare Services - Saint Clare's LLC

  dba Saint Clare's Hospital

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1598144362
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1922507003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MEMORIAL PKWY",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034266",
            "telephone_number": "973-570-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MEMORIAL PKWY",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034266",
            "telephone_number": "973-570-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALED",
        "first_name": "MUNTASIR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00347000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Andrew Kastner, M.D.,M.S.
• Anthony Hughes Kearney, LCSW
• John Kelly, MD
• Pascale Kerlegrand, M.D.
• Carolyn Kerr, IBCLC
• Vishal Khatri, MD
• Julie Thomas Kidangan, DO
• Kidney Hypertension Center ,LLC
• Kids Choice Pediatrics
• Katelyn M Kidwell, MA, RDT ,LCAT

• Foot & Ankle Surgery Podiatrist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.