Noel Allen Ycong De Leon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040424 Issued in NY

Practice address

545 54TH St FL 2
Brooklyn, NY 11220-3114

Phone

(929) 363-3220

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1730806290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 54TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203114",
            "telephone_number": "929-363-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 54TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203114",
            "telephone_number": "929-363-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "NOEL ALLEN",
        "middle_name": "YCONG",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeli A De Leon
• Elaine De Leon, MD, MHS
• Ericel De Leon
• Jose De Leon
• Mildred Elizabeth De Leon, SPT
• Rosalynn De Leon
• Rossanna De Leon, DDS
• Michael James De Leonardis
• Jessica De Lia, M.A.
• Lucas De Lima

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.