Eroll Balingcongan
Individual provider Active NPI Certified Registered Nurse Anesthetist · New Haven, CT
NPI 1306368295 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1306368295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 14422 (CT)
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-4242
- NPI assigned
- Jul 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 Cornell
Yale University
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
- Bridgeport Hospital
- New York-Presbyterian/Queens
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 730714 | CA | MD | Certified Registered Nurse Anesthetist |
| 14422 | CT | MD | Certified Registered Nurse Anesthetist |
| 730714 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles (12 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Anesthesiologist, PC | Multi-Specialty | Current |
Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Multi-Specialty | Current |
Accepting new patients |
| New York University | Multi-Specialty | Current |
Accepting new patients |
| New York University | Multi-Specialty | Current | Accepting new patients |
| New York University | Multi-Specialty | Current |
Accepting new patients |
| North American Partners in Anesthesia LLP | Multi-Specialty | Current |
Accepting new patients |
| Yale University | Current |
Accepting new patients | |
| Yale University | Multi-Specialty | Current |
Accepting new patients |
| Physician Affiliate Group of New York PC | Multi-Specialty | Current |
Accepting new patients |
| Weill Medical College of Cornell | Multi-Specialty | Current |
Accepting new patients |
| Metropolitan Medical Practice Plan PC | Multi-Specialty | Current |
Accepting new patients |
| Weill Medical College of Cornell | Multi-Specialty | Current |
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
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
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
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
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
170 William St
New York, NY 10038
Phone (212) 238-0100
1901 1st Ave
Rm 5M44
New York, NY 10029
Phone (212) 423-6262
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 H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 730714 | CA | |
| Certified Registered Nurse Anesthetist |
367500000X | 730714 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 14422 | CT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14422 | Other | CT | CT DEPARTMENT OF PUBLIC HEALTH |
| 761685 | Other | CA | CALIFORNIA BOARD OF NURSING |
| 730714 | Other | NY | NYS EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS, RN LICENSING |
Other providers in New Haven, CT
- Emma Baldry
- Jenifer Baldwin
- Allen E Bale
- Kaitlin Balestriere
- Elena Balica
- Ethan Balk
- Samuel Arthur Ball
- Cynthia Ballard
- Sarah Elizabeth Ballatori
- Javier Ballester Gonzalez
All providers in New Haven, CT · Certified Registered Nurse Anesthetist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.