Individual provider Active NPI

Eroll Balingcongan

  • Certified Registered Nurse Anesthetist
  • New Haven, CT
National Provider Identifier
1306368295
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
14422 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-4242
NPI assigned
Jul 12, 2017
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 730714 CA
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X 730714 NY
Certified Registered Nurse Anesthetist 367500000X 14422 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

575 Lexington Ave
New York, NY 10022-6102

Other practice location 1

1 Gustave L Levy Pl # 1010
New York, NY 10029-6504
Phone (800) 627-4470

Other practice location 2

5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171219000353 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668730730 Reassigns benefits to 6 organizations
I20250417002846 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668730730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

170 William St
New York, NY 10038-2612
Phone (646) 962-4328

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
730714CAMDCertified Registered Nurse Anesthetist
14422CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC Multi-Specialty CurrentSince Oct 12, 2024 Accepting new patients
New York University Multi-Specialty CurrentSince Jun 27, 2022 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Jul 25, 2018 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Jul 25, 2018 Accepting new patients
Yale University Multi-Specialty CurrentSince Apr 3, 2025 Accepting new patients
Metropolitan Medical Practice Plan PC Multi-Specialty CurrentSince Nov 8, 2022 Accepting new patients
North Shore - Lij Anesthesiology, PC Multi-Specialty CurrentSince Oct 1, 2020 Accepting new patients
Jamaica Anesthesiologist, PC Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
Yale University CurrentSince Apr 3, 2025 Accepting new patients
North American Partners in Anesthesia LLP Multi-Specialty CurrentSince May 26, 2019 Accepting new patients
New York University Multi-Specialty Current Accepting new patients
New York University Multi-Specialty CurrentSince Jun 27, 2022 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

170 William St
New York, NY 10038
Phone (212) 238-0100

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

1901 1st Ave
Rm 5M44
New York, NY 10029
Phone (212) 423-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

1500 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 205-0800

Networks

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

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1306368295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl # 1010",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "800-627-4470",
            "fax_number": "412-937-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5645 Main St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555045",
            "country_code": "US",
            "telephone_number": "718-670-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALINGCONGAN",
        "first_name": "EROLL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "730714",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "730714",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "14422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.