William Joseph Lubin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110-003568 Issued in VA

Practice address

4437 Brookfield Corporate Dr
Chantilly, VA 20151-2122

Phone

(703) 968-7277

NPI assigned

Oct 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smirnoff Neurology PA

  • Neurology Physician
  • Lady Lake, FL
  • NPI 1700077732
  Medicare reassignment

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1043594575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43333 SUGARBUSH CT",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763901",
            "telephone_number": "703-737-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 BROOKFIELD CORPORATE DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512122",
            "telephone_number": "703-968-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-003568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love Hand Home Health, Inc
• Angela Love
• Lovespine Chiropractic Clinic II, Inc.
• Loving Angel'S Health Care LLC
• LS United Med LLC
• Madysen E Luce, RBT
• Luminor Equip LLC
• Luxottica of America Inc.
• Susan Ly, DR.
• Wynee Robinson Lyles

• Medical Physician Assistant in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.