Individual provider Active NPI

Awais Maqsood

  • Foot & Ankle Surgery Podiatrist
  • Mineola, NY
National Provider Identifier
1952984650
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007408 Issued in NY
Practice address
222 Station Plaza N
Suite 305
Mineola, NY 11501
Phone
(516) 663-4798
NPI assigned
Apr 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N007408 NY
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X NY
Foot & Ankle Surgery Podiatrist 213ES0103X N007408 NY Primary

Addresses

Primary practice location

222 Station Plaza N
Suite 305
Mineola, NY 11501

Mailing address

222 Station Plaza N
Suite 305
Mineola, NY 11501

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
I20241017002653 NY Practitioner - Podiatry 5890227664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
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)

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

Hospital & facility affiliations

  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions19
Removal of nail tissue1415
Removal or shaving of skin growth805
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007408NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry of Manhasset, PLLC Multi-Specialty CurrentSince Jul 28, 2024 Accepting new patients

Locations

181 Main St
Ste 207
Huntington, NY 11743
Phone (516) 869-3300

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

7001 Grand Ave
Maspeth, NY 11378
Phone (718) 639-0499

201 Portion Rd
Ste C
Ronkonkoma, NY 11779
Phone (631) 467-2813

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

Interoperability endpoints

  • Direct secure messaging: amaqsood457036@nyumc.direct-ci.com

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 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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1952984650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STATION PLAZA N",
            "address_2": "SUITE 305",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STATION PLAZA N",
            "address_2": "SUITE 305",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-663-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAQSOOD",
        "first_name": "AWAIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N007408",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.