Provider Demographics
NPI:1407147382
Name:T. LOMBARDI ASSOCIATES
Entity Type:Organization
Organization Name:T. LOMBARDI ASSOCIATES
Other - Org Name:LOMBARDI ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BA, CCM, CLNC, C
Authorized Official - Phone:973-710-9090
Mailing Address - Street 1:277 FAIRFIELD RD
Mailing Address - Street 2:SUITE 305A
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-1900
Mailing Address - Country:US
Mailing Address - Phone:973-710-9090
Mailing Address - Fax:973-575-0125
Practice Address - Street 1:277 FAIRFIELD RD
Practice Address - Street 2:SUITE 305A
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-1900
Practice Address - Country:US
Practice Address - Phone:973-710-9090
Practice Address - Fax:973-575-0125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ036918251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management