Individual provider Active NPI

Dean Lombardo, D.C,CDN

  • Chiropractor
  • Huntington, NY
National Provider Identifier
1881773109
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006509 Issued in NY
Practice address
752 Park Ave
Huntington, NY 11743-3900
Phone
(631) 385-0207
Fax
(631) 385-1272
NPI assigned
Nov 6, 2006
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006509 NY Primary
Nutritionist 133N00000X 003726 NY

Addresses

Primary practice location

752 Park Ave
Huntington, NY 11743-3900

Mailing address

1585 Santa Barbara Blvd
Ste a
The Villages, FL 32159-6820
Phone (352) 430-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006509NYMDChiropractor
003726NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Behrouz Farahmandpour D.O.P.C. Current Accepting new patients
Park Medical & Diagnostic, P.C. Current Accepting new patients

Locations

752 Park Ave
Huntington, NY 11743
Phone (631) 271-9017

Interoperability endpoints

  • Direct secure messaging: dean.lombardo.1@20870.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1881773109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "STE A",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-430-2121",
            "fax_number": "352-430-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433900",
            "telephone_number": "631-385-0207",
            "fax_number": "631-385-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C,CDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006509",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "003726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.