Fulton Family Medicine Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2618481 Issued in NY

Legal business name

FULTON FAMILY MEDICINE PRACTICE PC

Practice address

20 Canalview Mall
Fulton, NY 13069-1735

Phone

(315) 532-8049

NPI assigned

Feb 9, 2012

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Esther Serwadda Lubinga, M.D.NPI 1760658512

Title

Owner

Phone

(315) 532-8049

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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.

• Esther Lubinga, MD

  • Family Medicine Physician
  • Fulton, NY
  • NPI 1760658512
  Medicare reassignment Care Compare group NPD Authorized official
• Kirsten Manganiello, CFNP

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1104259050
  Medicare reassignment Care Compare group NPD
• Rachel Lubinga

  • Family Medicine Physician
  • Fulton, NY
  • NPI 1922746551
  Medicare reassignment Care Compare group
• Christine Atkins, FNP

  • Family Nurse Practitioner
  • Fulton, NY
  • NPI 1861426215
  Medicare reassignment NPD
• Denise Marie Carter, NP-C

  • Family Nurse Practitioner
  • Oswego, NY
  • NPI 1952662645
  Medicare reassignment NPD
• Rebecca Dottolo, NP

  • Family Nurse Practitioner
  • Fulton, NY
  • NPI 1053672261
  Medicare reassignment NPD
• Panita Pipatnawin, FNP-C

  • Family Nurse Practitioner
  • Fort Benning, GA
  • NPI 1033604970

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1275806036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 STATE ROUTE 48",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694108",
            "telephone_number": "315-532-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CANALVIEW MALL",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691735",
            "telephone_number": "315-532-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON FAMILY MEDICINE PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "LUBINGA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "SERWADDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-532-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2618481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03444819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Fruce, DDS
• Frank J. Fruce, D.M.D.
• Marsha Ann Fuller I, LPN
• Fulton City School District
• Fulton Dental Health Assoc
• Fulton Family Psychiatry PC
• Kathy Lyn Furbeck
• Virginia Galvin
• Tiffany Jane Gentile, MS LMHC CEDS NCC CAS
• Kayla M Gerlach, LMSW

• Family Medicine Physician in Fulton, NY
• Providers in Fulton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.