Dr Djavlon A Khakimov, DPM in Secaucus, NJ - Medicare Podiatry Provider

Dr Djavlon A Khakimov, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Secaucus, New Jersey. He went to New York College Of Podiatric Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Optum Medical Care Of New Jersey Pc and his current practice location is 255 Route 3 Ste 107, Secaucus, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 236-5550.

Dr Djavlon A Khakimov is licensed to practice in New Jersey (license number 25MD00360400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285139261.

Contact Information

	Dr Djavlon A Khakimov, DPM
	255 Route 3 Ste 107, Secaucus, NJ 07094-3857
	(551) 236-5550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Djavlon A Khakimov
Gender	Male
Speciality	Podiatry
Experience	8 Years
Location	255 Route 3 Ste 107, Secaucus, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Djavlon A Khakimov attended and graduated from New York College Of Podiatric Medicine in 2018

NPI Data:

NPI Number: 1285139261
Provider Enumeration Date: 03/29/2018
Last Update Date: 02/18/2026

Medicare PECOS Information:

PECOS PAC ID: 1153729132
Enrollment ID: I20211005002230

Medical Identifiers

Medical identifiers for Dr Djavlon A Khakimov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285139261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	25MD00360400 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Palisades Medical Center	North bergen, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Medical Care Of New Jersey Pc	3072650290	185

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Djavlon A Khakimov allows following entities to bill medicare on his behalf.

Provider Name	Optum Medical Care Of New Jersey Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Djavlon A Khakimov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Djavlon A Khakimov, DPM 3 University Plz Ste 205, Hackensack, NJ 07601-6208 Ph: (201) 833-3599	Dr Djavlon A Khakimov, DPM 255 Route 3 Ste 107, Secaucus, NJ 07094-3857 Ph: (551) 236-5550

Reviews and Comments

Podiatrist in Secaucus, NJ

New Jersey Podiatric Physicians & Surgeons Group, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 255 Route 3, Suite 202, Secaucus, NJ 07094 Phone: 201-863-7460 Fax: 201-863-7525
Dr. George Tsirogiannis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 765 Humboldt St, Office, Secaucus, NJ 07094 Phone: 201-875-5310 Fax: 201-430-2422
Dr. Marc Jason Berman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 255 Route 3 Ste 107, Secaucus, NJ 07094 Phone: 551-236-5550
Morris Podiatry Associates, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 255 Route 3 East, Suite 107, Secaucus, NJ 07094 Phone: 201-863-7460 Fax: 201-863-7525
Jose Loor Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 55 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 347-595-7569 Fax: 516-753-9320

Dr Djavlon A Khakimov, DPM - Medicare Podiatrist in Secaucus, NJ