Active NPI
Anthony Lombardo, R.N.
- General Practice Registered Nurse
- Water Mill, NY
National Provider Identifier
1922423847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 658920-1
- Practice address
- 32 Deer Run
Water Mill, NY 11976-2144 - Phone
- (631) 680-7551
- NPI assigned
- Feb 28, 2014
- Last updated
- Feb 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 658920-1 | NY | Primary |
| Home Health Registered Nurse | 163WH0200X | 658920-1 | NY | |
| Nurse Massage Therapist (NMT) | 163WM1400X | 658920-1 | NY |
Addresses
Primary practice location
32 Deer Run
Water Mill, NY 11976-2144
Mailing address
32 Deer Run
Water Mill, NY 11976-2144
Phone (631) 680-7551
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658920-1 | NY | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1922423847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 DEER RUN",
"city": "WATER MILL",
"state": "NY",
"postal_code": "119762144",
"telephone_number": "631-680-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 DEER RUN",
"city": "WATER MILL",
"state": "NY",
"postal_code": "119762144",
"telephone_number": "631-680-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDO",
"first_name": "ANTHONY",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-28",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "658920-1",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "658920-1",
"primary": false
},
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "NY",
"license": "658920-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Water Mill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.