Jerry Lubliner, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

148998 Issued in NY

Practice address

215 E 73Rd St
Suite 3C
New York, NY 10021-3653

Phone

(212) 249-8200

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• New York Orthopaedics and Sports Med PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1972694651
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1194816876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 73RD ST",
            "address_2": "SUITE 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 73RD ST",
            "address_2": "SUITE 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213653",
            "telephone_number": "212-249-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBLINER",
        "first_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "148998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry A Lublin, PH.D.
• Peri Beth Lublin, LMSW
• Victoria Beech Lublin, PH.D.
• Eric Lubliner, M.D.
• Erika Hyacinth Lubliner, PSY.D.
• Brigette Luboa, RN
• Brienne Chloe Lubor, MD
• Ellen Luborsky, PH.D.
• Gene Jonathan Lubow, PH.D.
• Carla Lubowitz

• Sports Medicine (Orthopaedic Surgery) Physician in New York, NY
• Providers in New York, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.