Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edmond Ainehsazan, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1477073864

Dr. Edmond Ainehsazan, DPM is a Podiatry in Forest Hills, New York. Graduated from New York College of Podiatric Medicine in 2017, 9 years ago. Practices with Medex Diagnostic and Treatment Center LLC, a 26-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
9
Trained at
New York College of Podiatric Medicine
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11129 Queens Blvd
Forest Hills, NY 11375-5553
Phone: (718) 275-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N007057 (NY)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 25MD00357900 (NJ)

Record details

NPI number1477073864
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Medex Diagnostic And Treatment Center Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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