Individual provider Active NPI

Stephen Clement Lembo, DC DOCTOR OF CHIROPR

  • Chiropractor
  • Wantagh, NY
National Provider Identifier
1821174277
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009615 Issued in NY
Practice address
3305 Jerusalem Ave Ste 207
Wantagh, NY 11793-2028
Phone
(516) 320-3999
NPI assigned
Oct 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009615 NY Primary

Addresses

Primary practice location

3305 Jerusalem Ave Ste 207
Wantagh, NY 11793-2028

Mailing address

3305 Jerusalem Ave Ste 207
Wantagh, NY 11793-2028
Phone (516) 320-3999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000918 NY Practitioner - Chiropractic 1355322009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5254 Merrick Rd
Suite 1
Massapequa, NY 11758-5135
Phone (516) 320-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009615NYMDChiropractor
009615NYMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Lembo Family Chiropractic, PC Chiropractor CurrentSince May 23, 2007 Accepting new patients
South Shore Counseling and Psychological Services P C CurrentSince Sep 1, 2024 Accepting new patients
Relief Source Chiropractic PC Chiropractor CurrentSince Mar 10, 2025 Accepting new patients
Dynamic Family Health NP PLLC PastSince Jun 1, 2020 Accepting new patients

Locations

5254 Merrick Rd
Ste 1
Massapequa, NY 11758
Phone (516) 320-3999

744 Old Country Rd
Plainview, NY 11803
Phone (516) 933-1034

363 Route 111
Ste 107
Smithtown, NY 11787
Phone (631) 406-6526

3305 Jerusalem Ave
Ste 110
Wantagh, NY 11793
Phone (516) 320-3999

3305 Jerusalem Ave
Ste 207
Wantagh, NY 11793
Phone (516) 785-0323

Organizations & group practices 4

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1821174277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "516-320-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "516-320-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBO",
        "first_name": "STEPHEN",
        "middle_name": "CLEMENT",
        "name_prefix": "Dr.",
        "credential": "DC DOCTOR OF CHIROPR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.