NPIMap

Individual provider Active NPI

Michael Joseph Lombino, MD

  • Diagnostic Radiology Physician
  • Ridgewood, NJ
National Provider Identifier
1194933911
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08974100 Issued in NJ
Practice address
223 N Van Dien Ave
Ridgewood, NJ 07450-2736
Phone
(201) 447-8000
NPI assigned
May 18, 2007
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 260805 NY
Diagnostic Radiology Physician 2085R0202X 25MA08974100 NJ Primary
Diagnostic Radiology Physician 2085R0202X 50108 CT

Addresses

Primary practice location

223 N Van Dien Ave
Ridgewood, NJ 07450-2736

Mailing address

20 Franklin Tpke
Waldwick, NJ 07463-1749
Phone (201) 445-3044

Other practice location 1

20 Franklin Tpke
Waldwick, NJ 07463-1749
Phone (201) 445-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110701000005 NY Practitioner - Diagnostic Radiology 6709901978 Reassigns benefits to 5 organizations
I20111027000411 NJ Practitioner - Diagnostic Radiology 6709901978 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Radiology Associates of Ridgewood P aGroup PAC ID 1254303332, 17 clinicians

Practice addresses (Care Compare)

1 Valley Health PLZ
Suite 1
Paramus, NJ 07652-3628
Phone (201) 634-5300

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

1220 Hicksville Rd
Seaford, NY 11783-1604
Phone (516) 266-3456

1333 Heroes Way
FL 2
Riverhead, NY 11901-2029
Phone (631) 369-5613

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 445-8822

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

8 Longview CT
Old Tappan, NJ 07675-7416
Phone (516) 405-7080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50108CTMDDiagnostic Radiology Physician
25MA08974100NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Dec 1, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 1, 2025 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Nov 6, 2013 Accepting new patients
Radiology Associates of Ridgewood P a CurrentSince Jul 1, 2022 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Apr 11, 2013 Accepting new patients
Valley Physician Services PC CurrentSince Oct 2, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 1, 2025 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology PastSince Jun 20, 2023 Accepting new patients
Visiting Therapy Services LLC PastSince Apr 19, 2011 Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

20 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 445-3040

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1333 Heroes Way
Fl 2
Riverhead, NY 11901
Phone (631) 369-5613

1220 Hicksville Rd
Seaford, NY 11783

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1194933911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631749",
            "telephone_number": "201-445-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502736",
            "telephone_number": "201-447-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Waldwick",
            "state": "NJ",
            "postal_code": "074631749",
            "country_code": "US",
            "telephone_number": "201-445-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBINO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "260805",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08974100",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "50108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.