Active NPI
Cecile Marie Leblanc
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1356500417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 212143
- Practice address
- 68-80 Schermerhorn Street
Brooklyn, NY 11201 - Phone
- (718) 858-7200
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 212143 | NY | Primary |
Addresses
Primary practice location
68-80 Schermerhorn Street
Brooklyn, NY 11201
Mailing address
663 Flanders Dr
No Woodmere, NY 11581
Phone (516) 295-7409
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260423000849 | NY | Order and Referring Only - Pediatric Medicine | 3274000609 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212143 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Care Associates, LLP | Past | Accepting new patients | |
| New York Hotel Trades Council & Hotel Association of Nyc Health Center | 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.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1164777884
-
- Physical Therapist
- Carmel, NY
- NPI 1508324898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1356500417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 FLANDERS DR",
"city": "NO WOODMERE",
"state": "NY",
"postal_code": "11581",
"telephone_number": "516-295-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68-80 SCHERMERHORN STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-858-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "CECILE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "212143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.