Individual provider Active NPI

Dinorah Lombana, LCSW

  • Clinical Social Worker
  • Kew Gardens, NY
National Provider Identifier
1760625131
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085012 Issued in NY
Practice address
8002 Kew Gardens Rd Ste 110
Kew Gardens, NY 11415-3609
Phone
(718) 793-2182
Fax
(718) 705-0187
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085012 NY Primary

Addresses

Primary practice location

8002 Kew Gardens Rd Ste 110
Kew Gardens, NY 11415-3609

Mailing address

8002 Kew Gardens Rd Ste 110
Kew Gardens, NY 11415-3609
Phone (718) 793-2182

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170203002119 NY Practitioner - Clinical Social Worker 2264715929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Young Adult Institute IncGroup PAC ID 1153216353, 28 clinicians

Practice addresses (Care Compare)

21111 Northern Blvd
Bayside, NY 11361-3241
Phone (212) 563-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Dec 25, 2016 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

8002 Kew Gardens Rd
Ste 110
Kew Gardens, NY 11415
Phone (718) 793-2182

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

227 E 41St St
New York, NY 10017

Interoperability endpoints

  • Direct secure messaging: dinorah.lomban.p1@direct.premierhealthcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1760625131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD STE 110",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153609",
            "telephone_number": "718-793-2182",
            "fax_number": "718-705-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD STE 110",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153609",
            "telephone_number": "718-793-2182",
            "fax_number": "718-705-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBANA",
        "first_name": "DINORAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.