Individual provider Active NPI

Nicole Ann Leggio, RPA-C

  • Physician Assistant
  • Freeport, NY
National Provider Identifier
1609817188
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011014 Issued in NY
Practice address
60 Guy Lombardo Ave
Jacqueline Delmont MD PC
Freeport, NY 11520
Phone
(516) 377-8014
Fax
(516) 377-8017
NPI assigned
Jun 8, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011014 NY Primary

Addresses

Primary practice location

60 Guy Lombardo Ave
Jacqueline Delmont MD PC
Freeport, NY 11520

Mailing address

60 Guy Lombardo Ave
Freeport, NY 11520
Phone (516) 377-8014

Other identifiers 1

IdentifierTypeStateIssuer
011014OtherNYLICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000716 NY Practitioner - Physician Assistant 2567460793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Touch in-Home Medical Care P.C.Group PAC ID 3678056058, 3 clinicians
Medical House Calls of the North Fork, PLLCGroup PAC ID 3870895915, 3 clinicians

Practice addresses (Care Compare)

Pelham, NY 10803
Phone (516) 200-6937

711 Wiggins St
Greenport, NY 11944-1733
Phone (631) 626-1006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011014NYMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plainview Internal Medicine PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609817188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-377-8014",
            "fax_number": "516-377-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GUY LOMBARDO AVE",
            "address_2": "JACQUELINE DELMONT MD PC",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-377-8014",
            "fax_number": "516-377-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGIO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "011014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.