Active NPI
Toussaint Andre Leclercq, MD
- Neurological Surgery Physician
- Lincoln, RI
National Provider Identifier
1124002019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 04671
- Practice address
- 124 Grandview Ave
Lincoln, RI 02865-2905 - Phone
- (401) 724-9222
- NPI assigned
- Dec 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 04671 | RI | Primary |
Addresses
Primary practice location
124 Grandview Ave
Lincoln, RI 02865-2905
Mailing address
124 Grandview Ave
Lincoln, RI 02865-2905
Phone (401) 724-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04671 | RI | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Medical Center | Past | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1124002019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 GRANDVIEW AVE",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028652905",
"telephone_number": "401-724-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 GRANDVIEW AVE",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028652905",
"telephone_number": "401-724-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLERCQ",
"first_name": "TOUSSAINT",
"middle_name": "ANDRE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-03",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "RI",
"license": "04671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.