Edmond Ainehsazan, D.P.M.

Key facts

NPI

1477073864

Entity type

Individual (NPI type 1)

Primary specialty

Foot & Ankle Surgery Podiatrist 213ES0103X

License

N007057 (NY)

Practice address

11129 Queens Blvd
Forest Hills, NY 11375-5553

Phone

(718) 275-8900

NPI assigned

Jun 27, 2017

Sex

Male

Sole proprietor

No

Organizations & group practices 5

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.

• Care Physicians of Ny, PLLC Physical Medicine & Rehabilitation Physician · Hastings on Hudson, NY · NPI 1558982199
  Medicare reassignment Care Compare group NPD FOOT & ANKLE SURGERY · NY
• Medex Diagnostic and Treatment Center LLC Clinic/Center · Forest Hills, NY · NPI 1629001102
  Medicare reassignment Care Compare group NPD NY
• Damian Family Care Centers, Inc. Federally Qualified Health Center (FQHC) · Jamaica, NY · NPI 1508955592
  Medicare reassignment NPD NY
• Medex Diagnostic and Treatment Center LLC Ambulatory Surgical Clinic/Center · Forest Hills, NY · NPI 1467085969
  Care Compare group
• Damian Family Care Centers, Inc. Federally Qualified Health Center (FQHC) · Jamaica, NY · NPI 1487923595
  NPD

Medicare Care Compare profile

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medex Diagnostic and Treatment Center LLC (26 clinicians)
Care Physicians of Ny PLLC (8 clinicians)

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles (4 of 8)

Locations

Networks

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 31, 2020.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1477073864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOOLEYS LN APT A6",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11129 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755553",
            "telephone_number": "718-275-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINEHSAZAN",
        "first_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00357900",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Forest Hills, NY · Foot & Ankle Surgery Podiatrist in New York