Lucien D Mocombe, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

183811 Issued in NY

Practice address

3016 Glenwood Rd
Brooklyn, NY 11210-2642

Phone

(718) 859-2525

Fax

(347) 750-7088

NPI assigned

Jul 27, 2005

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

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.

• Mocombe Lucien D MD PC

  dba Lucien D Mocombe MD PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1992993612
  Authorized official Same address or phone

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1255331799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102642",
            "telephone_number": "718-859-2525",
            "fax_number": "347-750-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102642",
            "telephone_number": "718-859-2525",
            "fax_number": "347-750-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCOMBE",
        "first_name": "LUCIEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01249641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miki Emilia Mochizuki Takahashi, M.D.
• Rachel Mochon
• Lisa Wa Ling Mock
• Kendall Mockridge, PA-C
• Mocombe Lucien D MD PC (Lucien D Mocombe MD PC)
• Modaitalianashoesinc.
• Joanne Mode
• Model Manes Beauty Salon LLC (Model Manes Beauty Salon)
• Lynn Model, MD
• Zachary Model, LMHC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.