Organization Active NPI

Lombardi Medical Associates, LLC

  • Internal Medicine Physician
  • North Providence, RI
National Provider Identifier
1386035160
Registry record updated Feb 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOMBARDI MEDICAL ASSOCIATES, LLC
Practice address
1515 Smith St
Suite M
North Providence, RI 02911-2947
Phone
(401) 228-8775
Fax
(401) 231-4640
NPI assigned
Feb 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2015

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

Authorized official

Name
Anthony J Lombardi, MDNPI 1265427009
Title
Owner
Phone
(401) 228-8775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1515 Smith St
Suite M
North Providence, RI 02911-2947

Mailing address

1515 Smith St
Suite M
North Providence, RI 02911-2947
Phone (401) 228-8775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150330001403 RI Part B Supplier - Clinic/Group Practice 1254658321 Receives reassigned benefits from 1 practitioner
Practice locations: North Providence, RI

National Provider Directory

National Provider Directory

Locations

1515 Smith St
Ste M
North Providence, RI 02911
Phone (401) 354-4384

1515 Smith St
#M
North Providence, RI 02911
Phone (401) 228-8775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423872000000",
    "number": "1386035160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SMITH ST",
            "address_2": "SUITE M",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112947",
            "telephone_number": "401-228-8775",
            "fax_number": "401-231-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SMITH ST",
            "address_2": "SUITE M",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112947",
            "telephone_number": "401-228-8775",
            "fax_number": "401-231-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMBARDI MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-14",
        "last_updated": "2015-02-14",
        "status": "A",
        "authorized_official_last_name": "LOMBARDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-228-8775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.