Individual provider Active NPI

Paola Lomba, D.D.S

  • General Practice Dentistry
  • East Elmhurst, NY
National Provider Identifier
1255594222
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050667 Issued in NY
Practice address
3261 85TH St
East Elmhurst, NY 11370-2011
Phone
(718) 397-1100
Fax
(718) 898-8411
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050667 NY Primary

Addresses

Primary practice location

3261 85TH St
East Elmhurst, NY 11370-2011

Mailing address

3261 85TH St
East Elmhurst, NY 11370-2011
Phone (718) 397-1100

Other identifiers 2

IdentifierTypeStateIssuer
02460108MedicaidNY
1497739155OtherNYGROUP NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050667NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1255594222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 85TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702011",
            "telephone_number": "718-397-1100",
            "fax_number": "718-898-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 85TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702011",
            "telephone_number": "718-397-1100",
            "fax_number": "718-898-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBA",
        "first_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02460108",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1497739155",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.