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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BALANCE FOOT AND ANKLE LLC
NPI 1063074565
Podiatrist - Foot & Ankle Surgery in West Babylon, NY

Active since July 03, 2019
229 GREAT EAST NECK RD, WEST BABYLON, NY 11704(516) 344-5553 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Jul 3, 2019 (2 updates tracked since 2019).

About Balance Foot And Ankle Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALANCE FOOT AND ANKLE LLC (NPI 1063074565) is a healthcare organization registered as a foot & ankle surgery in West Babylon, New York and active in the NPI registry since July 2019. The organization maintains 3 additional practice locations and lists Tyler Miranda, Owner, as its authorized official.

NPPES Registry Identity

NPI1063074565
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBALANCE FOOT AND ANKLE LLC
Location Address229 GREAT EAST NECK RDWest Babylon, NY 11704-7801
Mailing Address5 Marlborough CtRockville Centre, NY 11570-1822 · (845) 596-4745
Phone(516) 344-5553
Organization SubpartNo
Authorized OfficialTyler MirandaOwner · (845) 596-4745
Enumeration DateJuly 3, 2019
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1063074565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
229 GREAT EAST NECK RD, West Babylon, NY 11704
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Secondary Practice Locations 3

Location 126402 Hillside AveFloral Park, NY 11004-1738 · Phone (845) 596-4745
Location 2119 N Park AveRockville Centre, NY 11570-4113 · Phone (845) 596-4745
Location 361 N Park AveRockville Centre, NY 11570-4105 · Phone (845) 596-4745

Other Identifiers 1

Medicaid04294551NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENISE S SMITH LMT
Massage Therapist
229 GREAT EAST NECK RD
WEST BABYLON, NY 11704
Suffolk County (631) 833-0499
WEST BABYLON FOOT CARE, P.C.
Podiatrist (Foot & Ankle Surgery)
229 GREAT EAST NECK RD
WEST BABYLON, NY 11704
Suffolk County (631) 661-0073
WEST BABYLON THERAPEUTIC MASSAGE
Massage Therapist
229 GREAT EAST NECK RD
WEST BABYLON, NY 11704
Suffolk County (631) 833-0499
DR. FRANK RALPH BAYERBACH D.P.M.
Podiatrist (Primary Podiatric Medicine)
229 GREAT EAST NECK RD
W BABYLON, NY 11704
Suffolk County (631) 661-0073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balance Foot And Ankle LLC's NPI number?

The NPI number for Balance Foot And Ankle LLC is 1063074565. It was assigned to this organization in the NPPES registry on July 3, 2019.

Where is Balance Foot And Ankle LLC located?

Balance Foot And Ankle LLC is located at 229 Great East Neck Rd, West Babylon, NY 11704. The listed phone number is (516) 344-5553.

What is Balance Foot And Ankle LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Balance Foot And Ankle LLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.