MR. MORTEZA KHALADJ (PODIATRIST DP.M.) – Foot & Ankle Surgery Podiatrist, NPI 1124055116
Foot & Ankle Surgery Podiatrist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,074 PODIATRY in NJ
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Provider Addresses for MR. MORTEZA KHALADJ (PODIATRIST DP.M.)
Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States
ELIZABETH, NJ 07202
Phone: (908) 353-1777
Fax: (908) 355-4400
Type: Mailing
21 VALLEY VIEW AVE
GLADSTONE, NJ 07934
Phone: (908) 625-1042
Fax: (908) 355-4400
Type: Mailing
9 LAMINGTON RD
BRANCHBURG, NJ 08876
Phone: (908) 625-1042
Fax: (908) 355-4400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100216000256 | I | Podiatry | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | NJ | 11042 | Removal of skin and tissue first 20 sq cm or less | 113 | 39 |
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