Provider Demographics
NPI:1679548119
Name:ANTHONY S LOMBARDI MD PC
Entity type:Organization
Organization Name:ANTHONY S LOMBARDI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-460-9555
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-0277
Mailing Address - Country:US
Mailing Address - Phone:732-460-9555
Mailing Address - Fax:732-460-0699
Practice Address - Street 1:32 CORBETT WAY
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2263
Practice Address - Country:US
Practice Address - Phone:732-460-9555
Practice Address - Fax:732-460-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-20
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH3929OtherRAILROAD MEDICARE NUMBER
NJ037997Medicare ID - Type UnspecifiedGROUP NUMBER
CH3929OtherRAILROAD MEDICARE NUMBER