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

Northeastern Foot & Ankle Specialists, PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1265505077

Northeastern Foot & Ankle Specialists, PC is a Foot & Ankle Surgery Podiatrist in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

235 Main Ave
Passaic, NJ 07055-5501
Phone: (973) 473-6665
Fax: (973) 471-7308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00272000 (NJ)

Record details

NPI number1265505077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anas Khoury — President · (973) 473-6665
NPI enumeratedNovember 17, 2006
Last updated in NPPESJanuary 6, 2015
Mailing address235 Main Ave, Passaic, NJ 07055-5501

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