Organization Active NPI

Robert I. Lubin, D.P.M., P. L.L.C

  • Podiatrist
  • Canton, MI
National Provider Identifier
1023435203
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ROBERT I. LUBIN, D.P.M., P. L.L.C
Practice address
6512 N Canton Center Rd
Canton, MI 48187-1652
Phone
(248) 819-0249
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert LubinNPI 1215027420
Title
DPM/Owner
Phone
(248) 819-0249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Assisted Living Facility 310400000X 5901000759 MI

Addresses

Primary practice location

6512 N Canton Center Rd
Canton, MI 48187-1652

Mailing address

PO Box 3299
Farmington Hills, MI 48333-3299
Phone (248) 819-0249

Other practice location 1

5205 Brisata Cir Apt A
Boynton Beach, FL 33437-5224
Phone (248) 819-0249

National Provider Directory

National Provider Directory
Tax ID family
All Podiatry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1023435203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483333299",
            "telephone_number": "248-819-0249",
            "fax_number": "248-489-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871652",
            "telephone_number": "248-819-0249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Brisata Cir Apt A",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334375224",
            "country_code": "US",
            "telephone_number": "248-819-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT I. LUBIN, D.P.M., P. L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "248-819-0249"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "5901000759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.