Plaza Medical & Diagnostic, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

108320 Issued in NY

Legal business name

PLAZA MEDICAL & DIAGNOSTIC, P.C.

Practice address

752 Park Ave
Huntington, NY 11743-3900

Phone

(631) 385-0207

Fax

(631) 385-1272

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dean Lombardo

Title

Administrator

Phone

(631) 385-0207

Specialties & licenses 8

Addresses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1619091956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433900",
            "telephone_number": "631-385-0207",
            "fax_number": "631-385-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433900",
            "telephone_number": "631-385-0207",
            "fax_number": "631-385-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MEDICAL & DIAGNOSTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-385-0207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "108320",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "224877",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "108320",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "108320",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "155061",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "097663",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "155061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Piscitelli
• Jacob Piskun, M.D.
• Matthew Augustus Pitre, DPM
• Ann Marie Pittelli, OTR/L
• Amy Platt, PHD, LCSW
• Jennifer Plunkett Skibins, LMSW
• Neil Pober, M.D.
• Marshall A Polan, DDS
• Melissa Ann Polatschek, MA, CCC-SLP
• Sotir Polena, MD

• Family Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.