Active NPI
Sara El Bashir, DPM
- Foot & Ankle Surgery Podiatrist
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00330700
- Practice address
- 510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033 - Phone
- (973) 925-4111
- Fax
- (973) 925-7711
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SN006665 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00330700 | NJ | Primary |
Addresses
Primary practice location
510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033
Mailing address
510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033
Phone (973) 925-4111
Other practice location 1
1641 Route 112 Ste A
Medford, NY 11763-3663
Phone (631) 447-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 Hamburg Tpke
Suite 108
Wayne, NJ 07470-2033
Phone (718) 431-4979
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 24 |
| Removal of skin lesions | 32 |
| Removal of nail tissue | 199 |
| Removal or shaving of skin growth | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006665 | NY | MD | Mental Health Counselor |
| 25MD00330700 | NJ | MD | Foot & Ankle Surgery Podiatrist |
| SN006665 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Patchogue Podiatry P.C. | Podiatrist | Current | Accepting new patients |
| Podiatry Center of New Jersey, LLC | Podiatrist | Current | Accepting new patients |
Locations
510 Hamburg Tpke
Ste 108
Wayne, NJ 07470
Phone (718) 431-4979
285 Sills Rd
Bldg 17
East Patchogue, NY 11772
Phone (631) 654-5566
285 Sills Rd
Bldg 15D
East Patchogue, NY 11772
Phone (631) 758-5858
1641 Route 112
Ste A
Medford, NY 11763
Phone (631) 447-0800
1641 Route 112
Medford, NY 11763
Phone (631) 447-0800
Interoperability endpoints
- selbashir504550@nyumc.direct-ci.com
Organizations & group practices 2
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.
-
- Podiatrist
- East Patchogue, NY
- NPI 1871775726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1396189585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 HAMBURG TPKE STE 108",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702033",
"telephone_number": "973-925-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HAMBURG TPKE STE 108",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702033",
"telephone_number": "973-925-4111",
"fax_number": "973-925-7711"
}
],
"practiceLocations": [
{
"address_1": "1641 Route 112 Ste A",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "NY",
"postal_code": "117633663",
"country_code": "US",
"telephone_number": "631-447-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EL BASHIR",
"first_name": "SARA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "SN006665",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00330700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.