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

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1669483426

Dr. Gavriil Khaimov, DPM is a Podiatry in Fort Lee, New Jersey. Graduated from New York College of Podiatric Medicine in 2003, 23 years ago. Accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
23
Trained at
New York College of Podiatric Medicine
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

185 Bridge Plz N Ste #4
Fort Lee, NJ 07024-5907
Phone: (201) 363-9844
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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 25MD00295000 (NJ)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence N006045 (NY)

Record details

NPI number1669483426
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESOctober 1, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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