Individual provider Active NPI

Jesiel Jovany Lombay, MD

  • Family Medicine Physician
  • Phoenixville, PA
National Provider Identifier
1003495748
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD483872 Issued in PA
Practice address
450 Cresson Blvd Ste 110a
Phoenixville, PA 19460-6145
Phone
(484) 565-1293
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD483872 PA Primary

Addresses

Primary practice location

450 Cresson Blvd Ste 110a
Phoenixville, PA 19460-6145

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jesiel28@icloud.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231003001117 TX Practitioner - Internal Medicine 4183078678 Reassigns benefits to 1 organization
I20240530001397 PA Practitioner - Family Practice 4183078678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

450 Cresson Blvd
Suite 110a
Phoenixville, PA 19460-6145
Phone (484) 565-1293

830 W Cypress St
Family Med New Garden
Kennett Square, PA 19348-2218
Phone (610) 444-8084

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD483872PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 22, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Kalpesh P Bhesaniya MD PA Family Medicine CurrentSince Sep 15, 2023 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Family Medicine Current Accepting new patients
University of Penn - Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Dec 18, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 18, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Radiology Associates of the Main Line P C PastSince Feb 23, 2025 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

830 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-6242

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

450 Cresson Blvd
Ste 110A
Phoenixville, PA 19460
Phone (484) 227-9800

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Organizations & group practices 12

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1003495748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-337-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD STE 110A",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194606145",
            "telephone_number": "484-565-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBAY",
        "first_name": "JESIEL",
        "middle_name": "JOVANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD483872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesiel28@icloud.com",
            "affiliation": "N",
            "address_1": "142 Vernal St Apt 3R",
            "city": "Everett",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021492322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.