Individual provider Active NPI

Kathleen V. Caldwell-Lombardi, M.D.

  • Diagnostic Radiology Physician
  • West Caldwell, NJ
National Provider Identifier
1487690111
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA04748700 Issued in NJ
Practice address
40 Grover LN
West Caldwell, NJ 07006-7948
Phone
(973) 980-9677
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA04748700 NJ Primary

Addresses

Primary practice location

40 Grover LN
West Caldwell, NJ 07006-7948

Mailing address

40 Grover LN
West Caldwell, NJ 07006-7948

Other identifiers 1

IdentifierTypeStateIssuer
6131107MedicaidNJ

Other names 1

  • Dr. Kathleen Caldwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050812000055 NJ Practitioner - Diagnostic Radiology 1153350814 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48263CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC CurrentSince Apr 26, 2017 Accepting new patients
Saint Barnabas Outpatient Centers CurrentSince Jan 1, 2022 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Jul 15, 2020 Accepting new patients
Imaging Consultants of Essex, P.a. Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Ijkg Opco LLC Current Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

21 Stockton Dr
Toms River, NJ 08755
Phone (207) 883-1285

Interoperability endpoints

  • Direct secure messaging: kathleen.caldwelllombardi@direct.bayonnemedicalcenter.md
  • Direct secure messaging: kathleen.caldwell@pinkbreastcenter.chartmakerdirect.com

Organizations & group practices 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1487690111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GROVER LN",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GROVER LN",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067948",
            "telephone_number": "973-980-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL-LOMBARDI",
        "first_name": "KATHLEEN",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04748700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6131107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CALDWELL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.