Individual provider Active NPI

Basem Hakim

  • Podiatrist
  • Huntington, NY
National Provider Identifier
1700440351
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007236 Issued in NY
Practice address
270 Park Ave
Huntington, NY 11743-2799
Phone
(631) 760-2852
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007236 NY
Podiatrist 213E00000X 007236 NY Primary

Addresses

Primary practice location

270 Park Ave
Huntington, NY 11743-2799

Mailing address

270 Park Ave
Huntington, NY 11743-2799
Phone (631) 760-2852

Other practice location 1

1650 Grand Concourse
Bronx, NY 10457-7679
Phone (718) 992-7669

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
I20221014001425 NY Practitioner - Podiatry 9537535661 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Podiatry of Manhasset, PLLCGroup PAC ID 6406917343, 17 clinicians

Practice addresses (Care Compare)

1111 Broadhollow Rd
Farmingdale, NY 11735-4820
Phone (267) 642-4091

2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3500
Phone (516) 869-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10
Removal of nail tissue542
Removal or shaving of skin growth165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007236NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Basem Hakim Podiatry PC Foot & Ankle Surgery CurrentSince Jun 1, 2023 Accepting new patients
Advanced Podiatry of Manhasset, PLLC Podiatrist CurrentSince Jun 24, 2022 Accepting new patients

Locations

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

2110 Northern Blvd
Ste 208
Manhasset, NY 11030
Phone (516) 627-5113

1111 Route 110
South Farmingdale, NY 11735
Phone (267) 642-4091

20 Crossways Park Dr N
Ste 304
Woodbury, NY 11797
Phone (516) 681-8866

Networks

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

Organizations & group practices 4

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 1

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1700440351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432799",
            "telephone_number": "631-760-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432799",
            "telephone_number": "631-760-2852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577679",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "BASEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007236",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.