Active NPI
Balance Foot and Ankle LLC
- Foot & Ankle Surgery Podiatrist
- West Babylon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BALANCE FOOT AND ANKLE LLC
- Practice address
- 229 Great East Neck Rd
West Babylon, NY 11704-7801 - Phone
- (516) 344-5553
- NPI assigned
- Jul 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Miranda, DPM
- Title
- Owner
- Phone
- (845) 596-4745
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
229 Great East Neck Rd
West Babylon, NY 11704-7801
Mailing address
5 Marlborough CT
Rockville Centre, NY 11570-1822
Phone (845) 596-4745
Other practice location 1
26402 Hillside Ave
Floral Park, NY 11004-1738
Phone (845) 596-4745
Other practice location 2
119 N Park Ave
Rockville Centre, NY 11570-4113
Phone (845) 596-4745
Other practice location 3
61 N Park Ave
Rockville Centre, NY 11570-4105
Phone (845) 596-4745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04294551 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NUEMD |
National Provider Directory
National Provider DirectoryLocations
229 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 661-0073
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1760894125
-
- Foot & Ankle Surgery Podiatrist
- Rockville Ctr, NY
- NPI 1619225984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1063074565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MARLBOROUGH CT",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701822",
"telephone_number": "845-596-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 GREAT EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117047801",
"telephone_number": "516-344-5553"
}
],
"practiceLocations": [
{
"address_1": "26402 Hillside Ave",
"address_purpose": "LOCATION",
"city": "Floral Park",
"state": "NY",
"postal_code": "110041738",
"country_code": "US",
"telephone_number": "845-596-4745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 N Park Ave",
"address_purpose": "LOCATION",
"city": "Rockville Centre",
"state": "NY",
"postal_code": "115704113",
"country_code": "US",
"telephone_number": "845-596-4745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "61 N Park Ave",
"address_purpose": "LOCATION",
"city": "Rockville Centre",
"state": "NY",
"postal_code": "115704105",
"country_code": "US",
"telephone_number": "845-596-4745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BALANCE FOOT AND ANKLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-03",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-596-4745",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04294551",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NUEMD",
"affiliation": "N",
"address_1": "611 Mitchel Field Way",
"city": "Garden City",
"state": "NY",
"country_code": "US",
"postal_code": "115305057",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.