NPIMap

Organization Active NPI

Neal a Baillargeon

  • Family Medicine Physician
  • Kinderhook, NY
National Provider Identifier
1760894208
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
161495 Issued in NY
Legal business name
NEAL A BAILLARGEON
Practice address
90 Broad Street
Kinderhook, NY 12106-0766
Phone
(518) 758-7252
Fax
(151) 875-8193
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Neal Arthur Baillargeon, M.D,.F.A.A.F.PNPI 1295710291
Title
Physcian
Phone
(518) 758-7252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 161495 NY Primary

Addresses

Primary practice location

90 Broad Street
Kinderhook, NY 12106-0766

Mailing address

PO Box 766
90 Broad Street
Kinderhook, NY 12106-0766
Phone (518) 758-7252

Other identifiers 1

IdentifierTypeStateIssuer
00942154MedicaidNY

Other names 1

  • Philmont Family practice Other name

National Provider Directory

National Provider Directory
Tax ID family
Neal a Bailalrgeon Mdfaafp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1760894208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "address_2": "90 BROAD STREET",
            "city": "KINDERHOOK",
            "state": "NY",
            "postal_code": "121060766",
            "telephone_number": "518-758-7252",
            "fax_number": "151-875-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROAD STREET",
            "city": "KINDERHOOK",
            "state": "NY",
            "postal_code": "121060766",
            "telephone_number": "518-758-7252",
            "fax_number": "151-875-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL A BAILLARGEON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "BAILLARGEON",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "518-758-7252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,.F.A.A.F.P"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "161495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00942154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philmont Family practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kinderhook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.