Individual provider Active NPI

Joseph V. Lombardi, M.D.

  • Vascular Surgery Physician
  • Pomona, NJ
National Provider Identifier
1184644700
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA08520700 Issued in NJ
Practice address
65 W Jimmie Leeds Rd FL 1
Pomona, NJ 08240-9102
Phone
(609) 748-7089
Fax
(609) 652-3460
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD067325L PA
Surgery Physician 208600000X MD067325L PA
Vascular Surgery Physician 2086S0129X 25MA08520700 NJ Primary
Vascular Surgery Physician 2086S0129X MD067325L PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MA08520700 NJ
Diagnostic Radiology Physician 2085R0202X MD067325L PA

Addresses

Primary practice location

65 W Jimmie Leeds Rd FL 1
Pomona, NJ 08240-9102

Mailing address

65 W Jimmie Leeds Rd FL 1
Pomona, NJ 08240-9102
Phone (609) 748-7089

Other practice location 1

3 Cooper Plaza
Suite 411
Camden, NJ 08103-1438
Phone (856) 342-2270

Other identifiers 2

IdentifierTypeStateIssuer
0005371MedicaidNJ
100843013MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20090317000452 NJ Practitioner - Vascular Surgery 9436113461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08520700NJMDVascular Surgery Physician
MD067325LPAMDVascular Surgery Physician
MA08520700NJMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA CurrentSince Jan 5, 2009 Accepting new patients
Atlanticare Physician Group PA Surgery CurrentSince Dec 9, 2024 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Dec 15, 2024 Accepting new patients
Atlanticare Regional Medical Center Surgery CurrentSince Dec 15, 2024 Accepting new patients
Cooper Surgical Associates, PA Surgery CurrentSince Jan 5, 2009 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 9, 2024 Accepting new patients
Vascular Diagnostic Center PC Diagnostic Radiology Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Jefferson University Physicians Diagnostic Radiology Past Accepting new patients
Atlanticare Physician Group PastSince Dec 22, 2024 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

3 Cooper Plz
Ste 403411
Camden, NJ 08103

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

65 W Jimmie Leeds Rd
Fl 1
Pomona, NJ 08240
Phone (609) 441-8146

2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100

900 Centennial Blvd
Ste G
Voorhees, NJ 08043
Phone (856) 325-6565

Organizations & group practices 10

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 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1184644700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD FL 1",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-748-7089",
            "fax_number": "609-652-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD FL 1",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-748-7089",
            "fax_number": "609-652-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Cooper Plaza",
            "address_2": "Suite 411",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031438",
            "country_code": "US",
            "telephone_number": "856-342-2270",
            "fax_number": "856-365-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "JOSEPH",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD067325L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD067325L",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA08520700",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD067325L",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "MA08520700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD067325L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005371",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100843013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.