Active NPI
Mary Lombardi, PA-C
- Surgical Physician Assistant
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9111944
- Practice address
- 1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987 - Phone
- (352) 674-8700
- Fax
- (352) 674-8714
- NPI assigned
- Jan 9, 2015
- Last updated
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 001844-1 | NY | |
| Surgical Physician Assistant | 363AS0400X | PA9111944 | FL | Primary |
Addresses
Primary practice location
1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987
Mailing address
1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8819
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001844-1 | NY | MD | Pediatric Occupational Therapist |
| PA9111944 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1700275088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 LAKE SUMTER LNDG",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622699",
"telephone_number": "352-674-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N US HIGHWAY 441 STE 810",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321598987",
"telephone_number": "352-674-8700",
"fax_number": "352-674-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDI",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-09",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "001844-1",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9111944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.