Active NPI
Zbigniew Dombek MD PC
- Family Medicine Physician
- Fitchburg, MA
National Provider Identifier
1902090905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 154192
- Legal business name
- ZBIGNIEW DOMBEK MD PC
- Practice address
- 76 Summer St
Suite 050
Fitchburg, MA 01420-5783 - Phone
- (978) 353-0004
- Fax
- (978) 353-0034
- NPI assigned
- Sep 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zbigniew Dombek, MD
- Title
- Owner
- Phone
- (978) 353-0004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 154192 | MA | Primary |
Addresses
Primary practice location
76 Summer St
Suite 050
Fitchburg, MA 01420-5783
Mailing address
76 Summer St
Suite 050
Fitchburg, MA 01420-5783
Phone (978) 353-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3171892 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
76 Summer St
Ste 50
Fitchburg, MA 01420
Phone (978) 353-0004
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDBFCA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188691200000",
"number": "1902090905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 SUMMER ST",
"address_2": "SUITE 050",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205783",
"telephone_number": "978-353-0004",
"fax_number": "978-353-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 SUMMER ST",
"address_2": "SUITE 050",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205783",
"telephone_number": "978-353-0004",
"fax_number": "978-353-0034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZBIGNIEW DOMBEK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-02",
"last_updated": "2007-09-02",
"status": "A",
"authorized_official_last_name": "DOMBEK",
"authorized_official_first_name": "ZBIGNIEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-353-0004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MA",
"license": "154192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171892",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.