Organization Active NPI

Mocombe Lucien D MD PC

Doing business as Lucien D Mocombe MD PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1992993612
Registry record updated Oct 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183811 Issued in NY
Legal business name
MOCOMBE LUCIEN D MD PC
Doing business as
Lucien D Mocombe MD PC
Practice address
3016 Glenwood Rd
Brooklyn, NY 11210-2642
Phone
(718) 859-2525
Fax
(718) 859-8852
NPI assigned
Oct 9, 2007
Last updated
Oct 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2007

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

Authorized official

Name
Dr. Lucien D Mocombe, MDNPI 1255331799
Title
President
Phone
(718) 859-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 183811 NY Primary

Addresses

Primary practice location

3016 Glenwood Rd
Brooklyn, NY 11210-2642

Mailing address

3016 Glenwood Rd
Brooklyn, NY 11210-2642
Phone (718) 859-2525

Other names 1

  • LUCIEN D MOCOMBE MD PC Doing business as

National Provider Directory

National Provider Directory

Locations

3120 Glenwood Rd
Brooklyn, NY 11210
Phone (718) 434-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCIEN D MOCOMBE MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.