Active NPI
Sasha Valdizan, DPM
- Podiatrist
- New York, NY
National Provider Identifier
1679969612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N006943
- Practice address
- 17 E 102ND St
7TH Floor #1087
New York, NY 10029 - Phone
- (212) 659-8551
- NPI assigned
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N006943 | NY | Primary |
Addresses
Primary practice location
17 E 102ND St
7TH Floor #1087
New York, NY 10029
Mailing address
2031 26TH St Apt 1
Astoria, NY 11105-2915
Phone (703) 851-8175
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181009000492 | NY | Practitioner - Podiatry | 5698027332 | Practice locations: Bronx, NY; New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006943 | NY | MD | Podiatrist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1679969612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 26TH ST APT 1",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052915",
"telephone_number": "703-851-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 102ND ST",
"address_2": "7TH FLOOR #1087",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-659-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDIZAN",
"first_name": "SASHA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N006943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.