Individual provider Active NPI

Asimina Balaskonis, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1902186349
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006431 Issued in NY
Practice address
454 W 47TH St Apt 3E
New York, NY 10036-2373
Phone
(267) 254-4733
Fax
(914) 361-6471
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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 006431 NY Primary

Addresses

Primary practice location

454 W 47TH St Apt 3E
New York, NY 10036-2373

Mailing address

454 W 47TH St Apt 3E
New York, NY 10036-2373
Phone (267) 254-4733

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
I20140320000413 NY Practitioner - Podiatry 3678704483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Practice addresses (Care Compare)

827 11TH Ave
New York, NY 10019-3535
Phone (212) 369-5566

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S Tsoumpariotis DPM PC CurrentSince Oct 1, 2023 Accepting new patients
New York Medical & Diagnostic Center Inc CurrentSince Nov 10, 2018 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Spyros Tsoumpariotis PastSince Oct 1, 2023 Accepting new patients

Locations

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

7901 Myrtle Ave
Glendale, NY 11385
Phone (718) 381-2300

8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000

2315 3rd Ave
New York, NY 10035
Phone (212) 369-5566

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1902186349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 W 47TH ST APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362373",
            "telephone_number": "267-254-4733",
            "fax_number": "914-361-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W 47TH ST APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362373",
            "telephone_number": "267-254-4733",
            "fax_number": "914-361-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASKONIS",
        "first_name": "ASIMINA",
        "name_prefix": "Ms.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.