Individual provider Active NPI

Yasmin Sarraf

  • Foot & Ankle Surgery Podiatrist
  • Fresh Meadows, NY
National Provider Identifier
1124525035
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007042 Issued in NY
Practice address
15816 79TH Ave
Fresh Meadows, NY 11366-1083
Phone
(718) 509-1900
NPI assigned
Apr 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 007042 NY Primary

Addresses

Primary practice location

15816 79TH Ave
Fresh Meadows, NY 11366-1083

Mailing address

27005 76TH Ave
New Hyde Park, NY 11040-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211004001240 NJ Practitioner - Podiatry 5294079588 Reassigns benefits to 1 organization
I20211012000988 NY Practitioner - Podiatry 5294079588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FJ Orthopaedics and Pain Management PLLCGroup PAC ID 9234290008, 11 clinicians

Practice addresses (Care Compare)

1414 Newkirk Ave
Brooklyn, NY 11226-6522

1414 Newkirk Ave
Brooklyn, NY 11226-6599
Phone (718) 897-2228

Hospital & facility affiliations

  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
007042NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Lewin MD PC CurrentSince Sep 1, 2021 Accepting new patients
FJ Orthopaedics and Pain Management PLLC CurrentSince Sep 1, 2021 Accepting new patients
Richard M Seldes M D P C PastSince Nov 30, 2023 Accepting new patients

Locations

177 N Dean St
Englewood, NJ 07631
Phone (201) 510-3777

177 N Dean St
Ste 301
Englewood, NJ 07631
Phone (201) 510-3777

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

15816 79th Ave
Ste 1
Fresh Meadows, NY 11366

9525 Queens Blvd
Ste 2
Rego Park, NY 11374
Phone (718) 459-7700

Networks

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

Interoperability endpoints

  • Direct secure messaging: ysarraf69134@northwell.direct-ci.com

Organizations & group practices 3

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 1

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": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1124525035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15816 79TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661083",
            "telephone_number": "718-509-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAF",
        "first_name": "YASMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.