Individual provider Active NPI

Mario Voloshin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1063673416
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006441-1 Issued in NY
Practice address
165 Nassau Ave
Brooklyn, NY 11222-4023
Phone
(718) 389-4044
Fax
(718) 389-5317
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3520 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00312400 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X N006441-1 NY Primary

Addresses

Primary practice location

165 Nassau Ave
Brooklyn, NY 11222-4023

Mailing address

165 Nassau Ave
Brooklyn, NY 11222-4023
Phone (718) 389-4404

Other identifiers 1

IdentifierTypeStateIssuer
03493730MedicaidNY

Other names 1

  • Maryan Voloshin Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address mav9075@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000142 NY Practitioner - Podiatry 5799948279 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJR Medical, PCGroup PAC ID 5991608440, 43 clinicians
New York Queens Medicine and Surgery, P.C.Group PAC ID 4082883673, 401 clinicians

Practice addresses (Care Compare)

1088 N Broadway
Yonkers, NY 10701-1107
Phone (914) 966-9296

16303 Horace Harding Expy
Suite 2
Fresh Meadows, NY 11365-1449
Phone (866) 670-6824

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3520FLMDFoot & Ankle Surgery Podiatrist
N006441-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital Medical Center CurrentSince Feb 1, 2013 Accepting new patients
SJR Medical, PC Foot & Ankle Surgery CurrentSince May 1, 2021 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince May 1, 2019 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Feb 1, 2013 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Feb 1, 2015 Accepting new patients
Newyork-Presbyterian/Queens CurrentSince Feb 1, 2015 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince May 1, 2019 Accepting new patients
It Medical Essence PC PastSince Jan 15, 2020 Accepting new patients
Meltem Ates, DPM LLC Foot & Ankle Surgery PastSince Sep 1, 2020 Accepting new patients
Suny Downstate Medical Center PastSince Jul 15, 2019 Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

77 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-2102

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

128 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 693-6500

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

18219 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 670-1415

16303 Horace Harding Expy
Ste 4
Fresh Meadows, NY 11365

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

1022 N Broadway
Yonkers, NY 10701
Phone (914) 963-0284

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

472 Palmer Rd
Yonkers, NY 10701
Phone (914) 375-2300

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

1088 N Broadway
#2
Yonkers, NY 10701
Phone (914) 636-4466

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mav9075@direct.nyp.org
  • Direct secure messaging: mvoloshin@stjohnsmedicalpc.directmedgenehr.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1063673416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224023",
            "telephone_number": "718-389-4404",
            "fax_number": "718-389-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224023",
            "telephone_number": "718-389-4044",
            "fax_number": "718-389-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLOSHIN",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3520",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00312400",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006441-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03493730",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "16303 Horace Harding Expy Ste 4",
            "city": "Fresh Meadows",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113651449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "16303 Horace Harding Expy Ste 4",
            "city": "Fresh Meadows",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113651449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mav9075@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Access",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Access",
            "address_1": "16303 Horace Harding Expy Ste 4",
            "city": "Fresh Meadows",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113651449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARYAN",
            "last_name": "VOLOSHIN",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.