Active NPI
Mina Baskhron, DPM
- Foot & Ankle Surgery Podiatrist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006593-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba St. Mary's Foot and Ankle Center
- Podiatric Clinic/Center
- Staten Island, NY
- NPI 1326446055
9133445018
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
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
- Staten Island University Hospital
- Richmond University Medical Center
- Robert Wood Johnson University Hospital - Somerset
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 138 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 87 |
| Removal or shaving of skin growth | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mbip Podiatry P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
| Seaview Podiatry P.C. | Current | Accepting new patients | |
| Seaview Podiatry P.C. | Foot & Ankle Surgery | Current | 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
- stmarysfootandanklecenter.minabaskhron@148292.advancedmd-direct.com
- 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.
-
dba Forward Foot & Ankle Associates
- Foot & Ankle Surgery Podiatrist
- Staten Island, NY
- NPI 1992426969
-
dba St. Mary's Foot and Ankle Center
- Podiatric Clinic/Center
- Staten Island, NY
- NPI 1326446055
NJ
-
dba St Mary Foot and Ankle Center
- Podiatric Clinic/Center
- Branchburg, NJ
- NPI 1679384176
Foot & Ankle Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
dba Robert Wood Johnson University Hospital Somerset
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.