# FOOT AND ANKLE CENTER OF FORT LEE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043495641
- **Authorized official:** DR. GAVRIIL KHAIMOV DPM (PRESIDENT)
- **Authorized official phone:** (201) 363-9844

## Contact information

- **Practice address:** 2225 LEMOINE AVE FL 1, FORT LEE, NJ 07024-6104
- **Practice address phone:** (201) 363-9844
- **Practice address fax:** (201) 363-9662
- **Mailing address:** 2225 LEMOINE AVE STE 4, FORT LEE, NJ 07024-6104
- **Mailing address phone:** (201) 363-9844
- **Mailing address fax:** (201) 363-9662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00295000 | NJ | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 08/11/2026