Active NPI
Patrick Elie Leblanc, MD
- Neonatal-Perinatal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1528052586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 166674
- Practice address
- 760 Broadway, Woodhull Medical & Mental Health Center
Department of Pediatrics
Brooklyn, NY 11206 - Phone
- (718) 963-8000
- Fax
- (718) 630-3122
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 166674 | NY | Primary |
Addresses
Primary practice location
760 Broadway, Woodhull Medical & Mental Health Center
Department of Pediatrics
Brooklyn, NY 11206
Mailing address
760 Broadway, Woodhull Medical & Mental Health Center
Department of Pediatrics Room 2B-321
Brooklyn, NY 11206
Phone (718) 963-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01373160 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBHC Pediatric Services PC | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| The Brooklyn Hospital Center | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- pleblanc563092@nychhc.direct-ci.com
- pleblanc8832@prd.direct.tbh.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1861628091
Neonatal-Perinatal Medicine
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1467469023
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1528052586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER",
"address_2": "DEPARTMENT OF PEDIATRICS ROOM 2B-321",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "PATRICK",
"middle_name": "ELIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "166674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01373160",
"state": "NY"
}
],
"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 Mar 25, 2014; 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.