Leilani Balagot Chingcuangco, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

220582 Issued in NY

Practice address

1000 Franklin Ave Ste 100
Garden City, NY 11530-2910

Phone

(516) 248-8334

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Leilani Balagot Olmedo Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: lchingcuangco149077@nyumc.direct-ci.com

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.

• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1942269378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FRANKLIN AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302910",
            "telephone_number": "516-248-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FRANKLIN AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302910",
            "telephone_number": "516-248-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAGOT CHINGCUANGCO",
        "first_name": "LEILANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "220582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02214051",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lchingcuangco149077@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1000 Franklin Ave Ste 100",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115302910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEILANI",
            "last_name": "OLMEDO",
            "middle_name": "BALAGOT",
            "prefix": "DR.",
            "credential": "M.D,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April M Bailey-Maletta, DPM
• Lauren D Bailey, DPT
• Roger S Baim, M.D.
• Neha Bajaj, LMSW
• Isabel Balady
• Mala Murthy Balakumar, MD
• Sangeeta Balani
• Meir Balassiano, DPT
• Sabrina Balducci
• Susan Banahan, LMSW

• Specialist in Garden City, NY
• Providers in Garden City, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.