Individual provider Active NPI

Spencer Lubin, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1285666420
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
179844 Issued in NY
Practice address
447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone
(631) 462-1736
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 179844 NY Primary

Addresses

Primary practice location

447 Atlantic Ave
Brooklyn, NY 11217-1702

Mailing address

7 Stonywell CT
Dix Hills, NY 11746-5421
Phone (631) 462-1736

Other identifiers 1

IdentifierTypeStateIssuer
01202602MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000998 NY Practitioner - General Practice 1153308838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
State University of New York Downstate Medical Center, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone (718) 421-2131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stoneywell Medical, PC CurrentSince Feb 23, 2012 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Noble Medical PC Anesthesiology Past Accepting new patients
Boulevard Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Saint Vincents Catholic Medical Centers of New York Past Accepting new patients

Locations

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

55 Greene Ave
Brooklyn, NY 11238
Phone (718) 789-5900

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1285666420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STONYWELL CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465421",
            "telephone_number": "631-462-1736",
            "fax_number": "631-462-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171702",
            "telephone_number": "631-462-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "179844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01202602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.