Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea E Nomberg Physician PC

Organization Family Medicine Physician · NPI 1295394120

Andrea E Nomberg Physician PC is a Family Medicine Physician in Ronkonkoma, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

622 Hawkins Ave
Ronkonkoma, NY 11779-2374
Phone: (631) 583-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1295394120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Nomberg — Owner · (631) 583-3333
NPI enumeratedJune 13, 2019
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address1 Venezia Ct, Deer Park, NY 11729-1508

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