Andrea E Nomberg Physician PC
NPI 1295394120ActiveOrganization· Family Medicine· Ronkonkoma, NY
Family Medicine in Ronkonkoma, New York, registered in NPPES in June 2019. The authorized official on file is Andrea Nomberg, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295394120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2019 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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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