Individual provider Active NPI

Ayesha Mohiuddin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lynbrook, NY
National Provider Identifier
1578945341
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00324000 Issued in NJ
Practice address
25 Washington Ave
Unit 2
Lynbrook, NY 11563-2723
Phone
(630) 945-6016
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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 25MD00324000 NJ Primary

Addresses

Primary practice location

25 Washington Ave
Unit 2
Lynbrook, NY 11563-2723

Mailing address

25 Washington Ave
Unit 2
Lynbrook, NY 11563-2723

Other names 1

  • Dr. Ayesha Mohiuddin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160809000127 NJ Practitioner - Podiatry 5799079125 Reassigns benefits to 1 organization

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
Elizabeth Foot and Ankle Associates PAGroup PAC ID 8921290479, 5 clinicians

Practice addresses (Care Compare)

240 Williamson St
Suite 200
Elizabeth, NJ 07202-3671
Phone (908) 353-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.85 of 100Reported as group
Quality
17.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of nail tissue875
Removal or shaving of skin growth136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Foot and Ankle Associates PA Foot & Ankle Surgery CurrentSince Jul 12, 2016 Accepting new patients

Locations

240 Williamson St
Ste 200
Elizabeth, NJ 07202
Phone (908) 353-1777

50 Union Ave
Ste 501
Irvington, NJ 07111
Phone (908) 362-0123

986 Shoppes Blvd
Fl 2
North Brunswick, NJ 08902
Phone (732) 203-7011

412 Pleasant Valley Way
Ste 200
West Orange, NJ 07052
Phone (201) 792-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12234/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1578945341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON AVE",
            "address_2": "UNIT 2",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON AVE",
            "address_2": "UNIT 2",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632723",
            "telephone_number": "630-945-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00324000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYESHA",
            "last_name": "MOHIUDDIN",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.