Organization Active NPI

Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC

  • Rheumatology Physician
  • Clifton Park, NY
National Provider Identifier
1659865962
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
DOROTHY LACOMBE ADULT HEALTHCARE NURSE PRACTITIONER PLLC
Practice address
963 Route 146 Ste 3
Clifton Park, NY 12065-3636
Phone
(518) 579-2500
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Dorothy LacombeNPI 1780008078
Title
Owner
Phone
(518) 337-8993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

963 Route 146 Ste 3
Clifton Park, NY 12065-3636

Mailing address

963 Route 146 Ste 3
Clifton Park, NY 12065-3636
Phone (518) 579-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180817001286 NY Part B Supplier - Clinic/Group Practice 3173872553 Receives reassigned benefits from 3 practitioners
Practice locations: Clifton Park, NY

National Provider Directory

National Provider Directory

Locations

963 Route 146
Ste 3
Clifton Park, NY 12065
Phone (518) 337-8993

954 Route 146
Ste 3
Clifton Park, NY 12065
Phone (518) 337-8993

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1659865962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 ROUTE 146 STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653636",
            "telephone_number": "518-579-2500",
            "fax_number": "518-444-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 ROUTE 146 STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653636",
            "telephone_number": "518-579-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY LACOMBE ADULT HEALTHCARE NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "LACOMBE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-337-8993"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.