Individual provider Active NPI

Naomi E Lubkin, APN

  • Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1235759994
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN06969000 Issued in NJ
Practice address
404 Longstone Dr
Cherry Hill, NJ 08003-1989
Phone
(609) 320-0055
Fax
(856) 751-5668
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN06969000 NJ Primary

Addresses

Primary practice location

404 Longstone Dr
Cherry Hill, NJ 08003-1989

Mailing address

404 Longstone Dr
Cherry Hill, NJ 08003-1989
Phone (609) 320-0055

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

State licenses

LicenseStateTypeSpecialty
26NN06969000NJMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1235759994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LONGSTONE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031989",
            "telephone_number": "609-320-0055",
            "fax_number": "856-751-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LONGSTONE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031989",
            "telephone_number": "609-320-0055",
            "fax_number": "856-751-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBKIN",
        "first_name": "NAOMI",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN06969000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.