Edmond Ainehsazan, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N007057 Issued in NY

Practice address

11129 Queens Blvd
Forest Hills, NY 11375-5553

Phone

(718) 275-8900

NPI assigned

Jun 27, 2017

Last updated

Dec 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

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 LLCGroup PAC ID 1456336445, 26 clinicians

Care Physicians of Ny PLLCGroup PAC ID 3072933738, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care Physicians of Ny, PLLC

  • Psychiatry Physician
  • Hastings on Hudson, NY
  • NPI 1558982199

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Medex Diagnostic and Treatment Center LLC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1629001102
  Medicare reassignment Care Compare group NPD
• Damian Family Care Centers, Inc.

  dba Project Samaritan Health Services

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1508955592
  Medicare reassignment NPD
• Damian Family Care Centers, Inc.

  dba Project Samaritan Health Services

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1487923595
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": []
}

• Hesham Ahmed Ali Ahmed, PT
• Jasin Ahmed
• Ahuja Dental Forest Hills PC
• Meena Aidasani, PHARMD
• Aim High Speech Therapy Services PLLC
• Viktoria Airapetiants, FNP
• Ajay 28 LLC (New York Preventive Health Center)
• Adetokunbo Ajibulu, P.A.
• Ak Care Inc. (AK Rehabilitation and Acupuncture)
• Janelle A Akande-Bowen

• Foot & Ankle Surgery Podiatrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.

Verify at the official NPI Registry.