Stephane S Lubicz, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

139630 Issued in NY

Practice address

3777 Independence Ave
Bronx, NY 10463-1409

Phone

(646) 338-9121

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Boro Medical, P.C.

  • Surgical Physician Assistant
  • Bronx, NY
  • NPI 1528086584

  Gynecology

  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1144480427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631409",
            "telephone_number": "646-338-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631409",
            "telephone_number": "646-338-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBICZ",
        "first_name": "STEPHANE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "139630",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "139630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Y Lu, MD
• Wenxia Lu, MBBS
• Xiaoling Lu
• Ying-Ju Lu, DDS
• Zoey Luan
• Cindy Lubin, RN
• Kathiana Lubin
• Sophia Lubin, D.O.
• Simon Lucaj, MD
• Richard Joseph Lucariello, M.D.

• Gynecologic Oncology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Gynecologic Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.