Provider Demographics
NPI:1477645844
Name:LEMBO, THOMAS JR (DPM)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:LEMBO
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 ROUTE 72 W
Mailing Address - Street 2:SUITE 270
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2483
Mailing Address - Country:US
Mailing Address - Phone:609-597-5515
Mailing Address - Fax:856-396-0690
Practice Address - Street 1:1301 ROUTE 72 W
Practice Address - Street 2:SUITE 270
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2483
Practice Address - Country:US
Practice Address - Phone:609-597-5515
Practice Address - Fax:856-396-0690
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00277600213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5482480001OtherMEDICARE NSC
NJU99335Medicare UPIN
NJ5482480001OtherMEDICARE NSC
NJ077744Medicare ID - Type Unspecified