Active NPI
Denis Leblang, DPM
- Podiatrist
- Congers, NY
National Provider Identifier
1376652040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002957
- Practice address
- 285 N Route 303 Ste 15
Congers, NY 10920-1425 - Phone
- (845) 268-8282
- Fax
- (845) 268-8298
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N002957 | NY | Primary |
Addresses
Primary practice location
285 N Route 303 Ste 15
Congers, NY 10920-1425
Mailing address
285 N Route 303 Ste 15
Congers, NY 10920-1425
Phone (845) 268-8282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N002957 | Other | NY | CIGNA |
| 00497338 | Medicaid | NY |
Other names 1
- Denis Leblang
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Deni2time@aol.com |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040402000428 | NY | Practitioner - Podiatry | 1052303500 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N002957 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1376652040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 N ROUTE 303 STE 15",
"city": "CONGERS",
"state": "NY",
"postal_code": "109201425",
"telephone_number": "845-268-8282",
"fax_number": "845-268-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 N ROUTE 303 STE 15",
"city": "CONGERS",
"state": "NY",
"postal_code": "109201425",
"telephone_number": "845-268-8282",
"fax_number": "845-268-8298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANG",
"first_name": "DENIS",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N002957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "N002957",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00497338",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Deni2time@aol.com",
"affiliation": "N",
"endpointDescription": "E mail address",
"address_1": "285 N Route 303 Ste 15",
"city": "Congers",
"state": "NY",
"country_code": "US",
"postal_code": "109201425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DENIS",
"last_name": "LEBLANG",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Congers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.