Active NPI
Stylianos Lomvardias, M.D.
- Anatomic Pathology Physician
- Chesapeake, VA
National Provider Identifier
1952358640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 36598
- Practice address
- 112 Gainsborough Square
Suite 200
Chesapeake, VA 23320 - Phone
- (757) 547-0798
- Fax
- (757) 547-0145
- NPI assigned
- May 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 36598 | MA | Primary |
Addresses
Primary practice location
112 Gainsborough Square
Suite 200
Chesapeake, VA 23320
Mailing address
5465 Fieldston Rd
Riverdale, NY 10471-2501
Phone (718) 548-0443
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36598 | MA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Roosevelt Hospital - Pathology Dept | Past | Accepting new patients | |
| Womens OB GYN Care at the Pavilion PC | Past | Accepting new patients | |
| Medical Associates of Englewood, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1801802137
-
- Obstetrics & Gynecology Physician
- Bronx, NY
- NPI 1376594663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1952358640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5465 FIELDSTON RD",
"city": "RIVERDALE",
"state": "NY",
"postal_code": "104712501",
"telephone_number": "718-548-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 GAINSBOROUGH SQUARE",
"address_2": "SUITE 200",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-547-0798",
"fax_number": "757-547-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMVARDIAS",
"first_name": "STYLIANOS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "36598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.