Blake Allister Le Grand, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

308910 Issued in NY

Practice address

325 S Highland Ave Ste 106
Briarcliff Manor, NY 10510-2054

Phone

(914) 366-0015

Fax

(914) 366-0012

NPI assigned

Apr 9, 2018

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Icahn School of Medicine at Mount Sinai, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Children's Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: blake.legrand.p1@direct.cwpw.nextgenshare.com
• Direct secure messaging: blegrand67805@northwell.direct-ci.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boston Children's Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Physicians Medical Associates New York PC

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1073386421
  Medicare reassignment NPD
• Boston Childrens Health Physicians LLP

  dba Boston Childrens Health Physicians Pediatric Endocrinology Division

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD
• Physicians Medical Associates New York PC

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1487409702
  NPD
• PM Pediatrics of Bayside PLLC

  • Urgent Care Clinic/Center
  • Nanuet, NY
  • NPI 1861823197
  NPD (past)
• PM Pediatrics of Bayside, PLLC

  • Specialist
  • Bayside, NY
  • NPI 1861700353
  NPD (past)
• PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Mamaroneck, NY
  • NPI 1073645180
  NPD (past)
• PM Pediatrics PC

  dba PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Syosset, NY
  • NPI 1730212390

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1699272567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 1/2 WOLDEN RD APT C2-8",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625312",
            "telephone_number": "347-992-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE STE 106",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102054",
            "telephone_number": "914-366-0015",
            "fax_number": "914-366-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-6668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107101216",
            "country_code": "US",
            "telephone_number": "914-337-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5740 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104634140",
            "country_code": "US",
            "telephone_number": "929-920-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 E Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105433741",
            "country_code": "US",
            "telephone_number": "914-777-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Spring Valley Marketplace",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109775210",
            "country_code": "US",
            "telephone_number": "845-371-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1983 Route 52",
            "address_purpose": "LOCATION",
            "city": "Hopewell Junction",
            "state": "NY",
            "postal_code": "125333513",
            "country_code": "US",
            "telephone_number": "845-897-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE GRAND",
        "first_name": "BLAKE",
        "middle_name": "ALLISTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11081300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "308910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Labick
• Margot Lacey, PSY.D.
• Warren H Landesberg, D.C.
• Susan L Lauer, PT
• Dennis Lavelle, D.C.
• Booyong Ha Lee, M.D.
• Georgina I Lester, M. D.
• Lidia Pousada, MD, P.C. (Hudson Valley Geriatrics & Internal Medicine)
• Alfonso Eduardo Llosa Guerra
• Joyce Lockwood Roach, DDS

• Pediatrics Physician in Briarcliff Manor, NY
• Providers in Briarcliff Manor, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.