Organization Active NPI

Minimally Invasive Foot & Ankle Specialist

Doing business as Tri-State Top Foot Specialist - Westchester

  • Foot & Ankle Surgery Podiatrist
  • White Plains, NY
National Provider Identifier
1609530005
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MINIMALLY INVASIVE FOOT & ANKLE SPECIALIST
Doing business as
Tri-State Top Foot Specialist - Westchester
Practice address
222 Mamaroneck Ave Ste 310
White Plains, NY 10605-1316
Phone
(914) 222-0115
Fax
(702) 852-0631
NPI assigned
Oct 22, 2021
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. Hasan Masood, DPMNPI 1598210031
Title
Owner
Phone
(845) 536-8826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

222 Mamaroneck Ave Ste 310
White Plains, NY 10605-1316

Mailing address

275 Brandywine Dr
Orangeburg, NY 10962-2602
Phone (845) 536-8826

Other names 1

  • Tri-State Top Foot Specialist - Westchester Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211109003388 NY Part B Supplier - Clinic/Group Practice 2365831583 Receives reassigned benefits from 1 practitioner
Practice locations: Orangeburg, NY; White Plains, NY
O20241104003289 NY DME Supplier - Physician - Podiatry 2365831583 Practice locations: White Plains, NY

National Provider Directory

National Provider Directory
Tax ID family
Minimally Invasive Foot an2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

171 E Post Rd
Ste 210
White Plains, NY 10601
Phone (914) 222-0115

222 Mamaroneck Ave
Ste 310
White Plains, NY 10605
Phone (845) 536-8826

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1609530005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BRANDYWINE DR",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622602",
            "telephone_number": "845-536-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAMARONECK AVE STE 310",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051316",
            "telephone_number": "914-222-0115",
            "fax_number": "702-852-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE FOOT & ANKLE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-01-19",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "HASAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-536-8826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Top Foot Specialist - Westchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-State Top Foot Specialist - Westchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.