Individual provider Active NPI

Dominick Anthony Lobraico, D.O.

  • Specialist
  • West Long Branch, NJ
National Provider Identifier
1649214404
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MB56878 Issued in NJ
Practice address
1019 Broadway
West Long Branch, NJ 07764-1326
Phone
(732) 229-6797
Fax
(732) 229-6893
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MB56878 NJ Primary

Addresses

Primary practice location

1019 Broadway
West Long Branch, NJ 07764-1326

Mailing address

458 Sycamore Ave
Shrewsbury, NJ 07702-4205
Phone (732) 345-1887

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
I20110106001112 NJ Practitioner - Obstetrics/Gynecology 9537358593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

302 Candlewood Commons
Alan Cohen MD
Howell, NJ 07731-2170
Phone (732) 905-8111

911 E County Line Rd
West Long Branch OB GYN
Lakewood, NJ 08701-2069
Phone (732) 367-9699

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB56878NJMDSpecialist

Interoperability endpoints

  • Direct secure messaging: dominick.lobraico.1@6387.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6387/brand/4/csg/23/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1649214404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 SYCAMORE AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024205",
            "telephone_number": "732-345-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 BROADWAY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641326",
            "telephone_number": "732-229-6797",
            "fax_number": "732-229-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBRAICO",
        "first_name": "DOMINICK",
        "middle_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MB56878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.