Chengmo Bao

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

12 Sycamore Rd
Glen Cove, NY 11542-1725

Phone

(347) 721-0271

Fax

(516) 676-6833

NPI assigned

Apr 4, 2016

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)

Not enrolled

Practice roles

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.

• JCB of Glen Cove

  • Developmentally Disabled Services Day Training Agency
  • Glen Cove, NY
  • NPI 1780832956
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1760845952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SYCAMORE RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421725",
            "telephone_number": "347-721-0271",
            "fax_number": "516-676-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SYCAMORE RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421725",
            "telephone_number": "347-721-0271",
            "fax_number": "516-676-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "CHENGMO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Carmina Bagtas, MA, OTR/L
• Frances A Bahi, PHD
• Sydney Brooke Baiata
• Sandy Baker, LMHC
• Lauren Bannon
• Freddie A Barfield II, RPA-C
• Kellie L. Barone, R.N., C.P.N.P.
• Erin Barrett, LCRA
• Abraham Eddy Barth, MD
• Belinda Basaca, M.D

• Specialist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.