Individual provider Active NPI

Paul M Lobianco, LCSW

  • Clinical Social Worker
  • Newburgh, NY
National Provider Identifier
1508919564
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074499 Issued in NY
Practice address
141 Broadway
Newburgh, NY 12550-6204
Phone
(845) 568-6265
Fax
(845) 568-5213
NPI assigned
Jan 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074499 NY Primary

Addresses

Primary practice location

141 Broadway
Newburgh, NY 12550-6204

Mailing address

PO Box 395
Monroe, NY 10949-0395
Phone (845) 258-7264

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000009 NY Practitioner - Clinical Social Worker 3870624943 Reassigns benefits to 1 organization
Practice locations: Newburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

550 Stony Brook CT
Suite 4
Newburgh, NY 12550-6557
Phone (845) 258-7264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074499NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP CurrentSince Jun 8, 2019 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jun 8, 2019 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

10 Weathervane Dr
Washingtonville, NY 10992
Phone (845) 496-1966

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1508919564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109490395",
            "telephone_number": "845-258-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506204",
            "telephone_number": "845-568-6265",
            "fax_number": "845-568-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBIANCO",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.