Healthcare Provider Details

I. General information

NPI: 1104489103
Provider Name (Legal Business Name): NICHOLAS LOMBARDI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE
PITTSBURGH PA
15212-4772
US

IV. Provider business mailing address

2 CAPITAL WAY STE 356
PENNINGTON NJ
08534-2521
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-3269
  • Fax:
Mailing address:
  • Phone: 609-537-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA12799500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number25MA12799500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: