Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foot and Ankle Center of Fort Lee, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1043495641

Foot and Ankle Center of Fort Lee, LLC is a Foot & Ankle Surgery Podiatrist in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2225 Lemoine Ave Fl 1
Fort Lee, NJ 07024-6104
Phone: (201) 363-9844
Fax: (201) 363-9662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00295000 (NJ)

Record details

NPI number1043495641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gavriil Khaimov — President · (201) 363-9844
NPI enumeratedJanuary 2, 2008
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address2225 Lemoine Ave Ste 4, Fort Lee, NJ 07024-6104

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