FOOT AND ANKLE CENTER OF FORT LEE PODIATRY (NPI# 1639596547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639596547 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE CENTER OF FORT LEE PODIATRY |
| Other Organization Name | FOOT AND ANKLE CENTER OF FORT LEE, LLC |
| Practice Address |
6939 Yellowstone Blvd Forest Hills NY 11375-3795 |
| Practice Telephone | 7185753668 |
| Practice Fax Number | 7185753665 |
| Mailing Telephone | 7185753668 |
| Mailing Fax Number | 7185753665 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | DR. GAVRIIL KHAIMOV (PRESIDENT) |
| Authorized Official Telephone | 2013639844 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006045 | NY | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| FOOT AND ANKLE CENTER OF FORT LEE, LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285051797 | Foot and Ankle Center of Fort Lee Podiatry | Podiatrist | 14402 Jewel Ave, Suite A, Flushing, NY 11367-1744 | 2014-03-21 |
| Street Address |
6939 YELLOWSTONE BLVD |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302507 | Arthur Feinerman | Internal Medicine | 6939 Yellowstone Blvd, Forest Hills, NY 11375-3760 | 2005-08-04 |
| 1528320611 | Chryssanthi Karachalios | Pediatrics | 6939 Yellowstone Blvd, Forest Hills, NY 11375-3795 | 2012-06-13 |
| 1174770846 | Arthur Feinerman Md PC | Internal Medicine | 6939 Yellowstone Blvd, Forest Hills, NY 11375-3760 | 2008-08-25 |
| 1124201785 | Sdny Medical Supply | Durable Medical Equipment & Medical Supplies | 6939 Yellowstone Blvd, Suite #1, Forest Hills, NY 11375-3760 | 2007-12-06 |
| 1487620928 | Ana M Jaramillo | Internal Medicine | 6939 Yellowstone Blvd, Suite 1, Forest Hills, NY 11375-3795 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821405739 | Elelta Hailemichael | Podiatrist | 10250 67th Rd Apt 2, Forest Hills, NY 11375-2670 | 2014-07-14 |
| 1629082060 | David C. Mehl Dpm PC | Podiatrist | 6310 108th St, Forest Hills, NY 11375-1355 | 2006-07-29 |
| 1558784280 | Great Strides Podiatry, P.C. | Podiatrist | 7111 110th St, Forest Hills, NY 11375-4851 | 2014-01-31 |
| 1144588203 | Christian Jonathan Wower | Podiatrist | 9610 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2012-04-26 |
| 1487887626 | Feet for Life Podiatry & Foot Surgery Pllc | Podiatrist | 10230 67th Ave, Suite 1s, Forest Hills, NY 11375-2455 | 2009-09-03 |
| 1245482983 | Lekeisha Yolanda George | Podiatrist | 7111 110th St, Forest Hills, NY 11375-4851 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on FOOT AND ANKLE CENTER OF FORT LEE PODIATRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.