Yen Longobardi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RI MD08664 Issued in RI

Practice address

571 Broad Street
Yen Longobardi
Central Falls, RI 02863

Phone

(401) 724-9882

Fax

(401) 724-9882

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689734477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BROAD STREET",
            "address_2": "YEN LONGOBARDI",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "02863",
            "telephone_number": "401-724-9882",
            "fax_number": "401-724-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 BROAD STREET",
            "address_2": "YEN LONGOBARDI",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "02863",
            "telephone_number": "401-724-9882",
            "fax_number": "401-724-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGOBARDI",
        "first_name": "YEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "RI MD08664",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD08664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020350",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dailene Lima
• Brianna Lindsay
• Living Well Adult Day Care
• Longobardi Clinic, Inc.
• Melissa Lee Longobardi, PA-C
• Mansion, Inc (Mansion Nursing and Rehabilitation Center)
• Mirna J Manzano
• David Andrew Mathias, MD
• Maxi Drug South LP (Rite Aid Pharmacy 10230)
• Marissa McBurnie, PA-S

• Pediatrics Physician in Central Falls, RI
• Providers in Central Falls, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.