Individual provider Active NPI

Mina Baskhron, DPM

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1457791881
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006593-1 Issued in NY
Practice address
970 Bard Ave
Staten Island, NY 10301-3322
Phone
(718) 720-6866
Fax
(718) 720-6931
NPI assigned
Jun 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006593-1 NY Primary

Addresses

Primary practice location

970 Bard Ave
Staten Island, NY 10301-3322

Mailing address

970 Bard Ave
Staten Island, NY 10301-3322
Phone (718) 720-6866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150312000880 NY Practitioner - Podiatry 0042536922 Reassigns benefits to 2 organizations
I20241014002483 NJ Practitioner - Podiatry 0042536922 Reassigns benefits to 1 organization
O20200605000955 NY DME Supplier - Physician - Podiatry 9133445018 Practice locations: Staten Island, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mbip Podiatry PCGroup PAC ID 6901278811, 3 clinicians
Seaview Podiatry P.C.Group PAC ID 9133445018, 4 clinicians

Practice addresses (Care Compare)

1042 Huguenot Ave
Staten Island, NY 10312-4315
Phone (718) 317-5215

2143 S Branch Rd
Branchburg, NJ 08876-3929
Phone (718) 720-6866

314 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 720-6866

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue138
Removal of skin lesions1-10
Removal of nail tissue87
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mbip Podiatry P.C. Foot & Ankle Surgery CurrentSince Jun 1, 2022 Accepting new patients
Seaview Podiatry P.C. CurrentSince Nov 20, 2014 Accepting new patients
Seaview Podiatry P.C. Foot & Ankle Surgery CurrentSince Nov 20, 2014 Accepting new patients

Locations

2143 S Branch Rd
Branchburg, NJ 08876
Phone (718) 720-6866

1042 Huguenot Ave
Staten Island, NY 10312
Phone (718) 317-5215

1497 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-0500

Networks

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

Interoperability endpoints

  • Direct secure messaging: stmarysfootandanklecenter.minabaskhron@148292.advancedmd-direct.com
  • Direct secure messaging: mbaskhron218591@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 3

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": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1457791881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013322",
            "telephone_number": "718-720-6866",
            "fax_number": "718-720-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013322",
            "telephone_number": "718-720-6866",
            "fax_number": "718-720-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKHRON",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-30",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006593-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.