Individual provider Active NPI

Toussaint Andre Leclercq, MD

  • Neurological Surgery Physician
  • Lincoln, RI
National Provider Identifier
1124002019
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
04671 Issued in RI
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

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04671RIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.