Individual provider Active NPI

Juan L Ledon, MD

  • Specialist
  • Freeport, NY
National Provider Identifier
1093825499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
221976 Issued in NY
Practice address
73 Guy Lombardo Ave
Freeport, NY 11520-3714
Phone
(516) 377-3332
Fax
(516) 377-3844
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 221976 NY Primary

Addresses

Primary practice location

73 Guy Lombardo Ave
Freeport, NY 11520-3714

Mailing address

73 Guy Lombardo Ave
Freeport, NY 11520-3714
Phone (516) 377-3332

Other identifiers 1

IdentifierTypeStateIssuer
02285798MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000787 NY Practitioner - Physical Medicine and Rehabilitation 6800866054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Musculoskeletal and Spine Group PLLCGroup PAC ID 5395173405, 4 clinicians

Practice addresses (Care Compare)

4035 95TH St
Suite 1
Elmhurst, NY 11373-6200
Phone (516) 377-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Rehabilitation Medical Specialists, PC Specialist CurrentSince Jan 1, 2003 Accepting new patients
Integrated Musculoskeletal & Spine Group, PLLC Specialist CurrentSince Mar 1, 2020 Accepting new patients

Locations

4035 95th St
Ste 1
Elmhurst, NY 11373
Phone (516) 377-3332

1124 Foam Pl
Far Rockaway, NY 11691
Phone 5163773332181

73 Guy Lombardo Ave
Freeport, NY 11520
Phone (516) 377-3332

111 W Old Country Rd
Unit 101
Hicksville, NY 11801
Phone (516) 934-0380

Networks

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

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093825499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203714",
            "telephone_number": "516-377-3332",
            "fax_number": "516-377-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203714",
            "telephone_number": "516-377-3332",
            "fax_number": "516-377-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDON",
        "first_name": "JUAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02285798",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.