Healthcare Provider Details

I. General information

NPI: 1184644700
Provider Name (Legal Business Name): JOSEPH V. LOMBARDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 W JIMMIE LEEDS RD FL 1
POMONA NJ
08240-9102
US

IV. Provider business mailing address

65 W JIMMIE LEEDS RD FL 1
POMONA NJ
08240-9102
US

V. Phone/Fax

Practice location:
  • Phone: 609-748-7089
  • Fax: 609-652-3460
Mailing address:
  • Phone: 609-748-7089
  • Fax: 609-652-3460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD067325L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD067325L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number25MA08520700
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD067325L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberMA08520700
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD067325L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: