Omni Medical 360 PLLC
NPI 1114780525ActiveOrganization· Internal Medicine· Smithtown, NY
Internal Medicine in Smithtown, New York, registered in NPPES in January 2024. The authorized official on file is Matthew Lobosco, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114780525 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2024 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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All 60 internal medicine physicians in Smithtown · All internal medicine physicians in New York