Mocombe Lucien D MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

183811 Issued in NY

Legal business name

MOCOMBE LUCIEN D MD PC

Practice address

3016 Glenwood Rd
Brooklyn, NY 11210-2642

Phone

(718) 859-2525

Fax

(718) 859-8852

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lucien D Mocombe, MD

Title

President

Phone

(718) 859-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LUCIEN D MOCOMBE MD PC Doing business as

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192320000000",
    "number": "1992993612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102642",
            "telephone_number": "718-859-2525",
            "fax_number": "718-859-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102642",
            "telephone_number": "718-859-2525",
            "fax_number": "718-859-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCOMBE LUCIEN D MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-14",
        "status": "A",
        "authorized_official_last_name": "MOCOMBE",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-859-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183811",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WEK 391",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCIEN D MOCOMBE MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriella Mocheniat
• Miki Emilia Mochizuki Takahashi, M.D.
• Rachel Mochon
• Lisa Wa Ling Mock
• Kendall Mockridge, PA-C
• Lucien D Mocombe, MD
• Modaitalianashoesinc.
• Joanne Mode
• Model Manes Beauty Salon LLC
• Lynn Model, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.