Individual provider Active NPI

Stephanie Lubalin, M.S.

  • Pediatric Occupational Therapist
  • Hoboken, NJ
National Provider Identifier
1053736462
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00224200 Issued in NJ
Practice address
108 14TH St Apt 4E
Hoboken, NJ 07030-5599
Phone
(201) 217-0103
NPI assigned
Feb 21, 2014
Last updated
Feb 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR00224200 NJ Primary

Addresses

Primary practice location

108 14TH St Apt 4E
Hoboken, NJ 07030-5599

Mailing address

108 14TH St Apt 4E
Hoboken, NJ 07030-5599
Phone (201) 217-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46TR00224200NJMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1053736462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 14TH ST APT 4E",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305599",
            "telephone_number": "201-217-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 14TH ST APT 4E",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305599",
            "telephone_number": "201-217-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBALIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00224200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.