NPIMap

Organization Active NPI

Mbip Podiatry P.C.

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1992426969
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MBIP PODIATRY P.C.
Practice address
1042 Huguenot Ave
Staten Island, NY 10312-4315
Phone
(718) 317-5215
Fax
(718) 317-5212
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Dr. Mina Baskhron, DPM, FACFAS, FACPMNPI 1457791881
Title
Podiatrist - Foot & Ankle Surgery
Phone
(718) 317-5215

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1042 Huguenot Ave
Staten Island, NY 10312-4315

Mailing address

1042 Huguenot Ave
Staten Island, NY 10312-4315

Other practice location 1

315 Madison Ave Fl 17
New York, NY 10017-5419
Phone (718) 317-5215

Other names 1

  • Forward Foot & Ankle Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230202000106 NY Part B Supplier - Clinic/Group Practice 6901278811 Receives reassigned benefits from 4 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

315 Madison Ave
Fl 17
New York, NY 10017
Phone (212) 365-5066

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1992426969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 HUGUENOT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 HUGUENOT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124315",
            "telephone_number": "718-317-5215",
            "fax_number": "718-317-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Madison Ave Fl 17",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175419",
            "country_code": "US",
            "telephone_number": "718-317-5215",
            "fax_number": "718-317-5212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MBIP PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BASKHRON",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "PODIATRIST - FOOT & ANKLE SURGERY",
        "authorized_official_telephone_number": "718-317-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, FACFAS, FACPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Foot & Ankle Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.