Individual provider Active NPI

Denis Leblang, DPM

  • Podiatrist
  • Congers, NY
National Provider Identifier
1376652040
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002957 Issued in NY
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

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N002957OtherNYCIGNA
00497338MedicaidNY

Other names 1

  • Denis Leblang Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000428 NY Practitioner - Podiatry 1052303500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N002957NYMDPodiatrist

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

Verify at the official NPI Registry.