Individual provider Active NPI

Peter Charles Lombardo, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1487657771
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
84376 Issued in NY
Practice address
445 E 58TH St
New York, NY 10022-2302
Phone
(212) 838-0270
Fax
(212) 753-5329
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 84376 NY Primary

Addresses

Primary practice location

445 E 58TH St
New York, NY 10022-2302

Mailing address

445 E 58TH St
New York, NY 10022-2302
Phone (212) 838-0270

Other identifiers 2

IdentifierTypeStateIssuer
0024511OtherAETNA
NS810OtherOXFORD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060410000339 NY Practitioner - Dermatology 0648289231 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084376NYMDSocial Worker
84376NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Place Dermatology, P.C. CurrentSince Nov 30, 1977 Accepting new patients
St Lukes Roosevelt Community Care Dermatology Past Accepting new patients
Amy Rose MD, PLLC Dermatology PastSince Nov 28, 2021 Accepting new patients

Locations

445 E 58th St
New York, NY 10022
Phone (212) 838-0270

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487657771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222302",
            "telephone_number": "212-838-0270",
            "fax_number": "212-753-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222302",
            "telephone_number": "212-838-0270",
            "fax_number": "212-753-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "84376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0024511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.