Active NPI
Harry R Lubell, MD
- Pediatric Adolescent Medicine Physician
- Tarrytown, NY
National Provider Identifier
1265591879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 094455-1
- Practice address
- 150 White Plains Rd
Suite 101
Tarrytown, NY 10591-5535 - Phone
- (914) 332-4141
- Fax
- (914) 332-0750
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 094455-1 | NY | Primary |
Addresses
Primary practice location
150 White Plains Rd
Suite 101
Tarrytown, NY 10591-5535
Mailing address
150 White Plains Rd
Suite 101
Tarrytown, NY 10591-5535
Phone (914) 332-4141
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094455 | NY | MD | Clinical Social Worker |
| 094455-1 | NY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Past | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Adolescent Medicine
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1265591879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WHITE PLAINS RD",
"address_2": "SUITE 101",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915535",
"telephone_number": "914-332-4141",
"fax_number": "914-332-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WHITE PLAINS RD",
"address_2": "SUITE 101",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915535",
"telephone_number": "914-332-4141",
"fax_number": "914-332-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBELL",
"first_name": "HARRY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "094455-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.