Omni Medical 360 PLLC
NPI 1114780525 · Internal Medicine Physician · Smithtown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Omni Medical 360 PLLC is a Internal Medicine Physician organization in Smithtown, NY (NPI 1114780525).
Provider details
- NPI number
- 1114780525
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Lobosco, Owner(631) 364-1700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-31
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Frequently asked questions
- What is Omni Medical 360 PLLC's NPI number?
- Omni Medical 360 PLLC's National Provider Identifier (NPI) is 1114780525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Omni Medical 360 PLLC?
- Omni Medical 360 PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Omni Medical 360 PLLC located?
- Omni Medical 360 PLLC's practice location on file with NPPES is 100 Maple Ave, Smithtown, NY 11787-3519.
- What is Omni Medical 360 PLLC's phone number?
- The practice phone number listed in the NPPES registry for Omni Medical 360 PLLC is (631) 813-7788.
- Does Omni Medical 360 PLLC accept Medicare?
- Omni Medical 360 PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Omni Medical 360 PLLC?
- The authorized official listed on Omni Medical 360 PLLC's NPPES record is Matthew Lobosco, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Omni Medical 360 PLLC's NPI active?
- Yes — Omni Medical 360 PLLC's NPI (1114780525) is active in the NPPES registry as of the last update on 2026-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.