Active NPI
Lubin Medical Wellness P.C.
- Clinic/Center
- New York, NY
National Provider Identifier
1063103984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LUBIN MEDICAL WELLNESS P.C.
- Practice address
- 4470 Broadway FRNT
New York, NY 10040-2669 - Phone
- (732) 789-0801
- NPI assigned
- May 19, 2023
- Last updated
- May 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sophia Lubin, DO
- Title
- Owner
- Phone
- (917) 805-1030
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4470 Broadway FRNT
New York, NY 10040-2669
Mailing address
4470 Broadway FRNT
New York, NY 10040-2669
Phone (347) 836-5434
National Provider Directory
National Provider DirectoryLocations
4470 Broadway
Frnt
New York, NY 10040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Bronx, NY
- NPI 1659526085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1063103984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 BROADWAY FRNT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402669",
"telephone_number": "347-836-5434",
"fax_number": "347-894-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 BROADWAY FRNT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402669",
"telephone_number": "732-789-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUBIN MEDICAL WELLNESS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "LUBIN",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-805-1030",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.