Individual provider Active NPI

Nison Basalilov, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1487394284
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007370 Issued in NY
Practice address
443 Linden Blvd
Brooklyn, NY 11203-2821
Phone
(718) 719-7898
NPI assigned
Mar 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 007370 NY Primary

Addresses

Primary practice location

443 Linden Blvd
Brooklyn, NY 11203-2821

Mailing address

6836 108TH St Apt A14
Forest Hills, NY 11375-3348
Phone (718) 719-7898

Other practice location 1

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 719-7898

Other practice location 2

2235 W 9th St
Brooklyn, NY 11223-4413
Phone (718) 719-7898

Other practice location 3

6405 Yellowstone Blvd Ste Cf104
Forest Hills, NY 11375-1588
Phone (718) 719-7898

Other practice location 4

1 Brookdale Plz
Brooklyn, NY 11212-3198
Phone (718) 240-5000

Other practice location 5

10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451
Phone (718) 719-7898

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240412001934 NY Practitioner - Podiatry 4284073099 Reassigns benefits to 1 organization
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downstate Foot and Ankle Podiatry PCGroup PAC ID 3779472758, 2 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone (718) 282-6333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue23
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007370NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Downstate Foot and Ankle Podiatry, PC Foot & Ankle Surgery CurrentSince Nov 29, 2024 Accepting new patients
Elmcare Pharmacy, Inc. PastSince Nov 29, 2024 Accepting new patients
Keystone Podiatry PLLC Foot & Ankle Surgery PastSince Sep 3, 2025 Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

443 Linden Blvd
Brooklyn, NY 11203
Phone (718) 669-7642

3902 Union St
Flushing, NY 11354
Phone (718) 661-1122

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 4

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1487394284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 108TH ST APT A14",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753348",
            "telephone_number": "718-719-7898",
            "fax_number": "718-719-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032821",
            "telephone_number": "718-719-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-719-7898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2235 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112234413",
            "country_code": "US",
            "telephone_number": "718-719-7898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6405 Yellowstone Blvd Ste Cf104",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113751588",
            "country_code": "US",
            "telephone_number": "718-719-7898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123198",
            "country_code": "US",
            "telephone_number": "718-240-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10721 Queens Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754451",
            "country_code": "US",
            "telephone_number": "718-719-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASALILOV",
        "first_name": "NISON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.