Justin Lawrence Cherubim, DO

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

201105-1 Issued in NY

Practice address

620 Park Ave # 181
Rochester, NY 14607-2943

Phone

(585) 737-9997

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1326110883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PARK AVE # 181",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072943",
            "telephone_number": "585-737-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PARK AVE # 181",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072943",
            "telephone_number": "585-737-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUBIM",
        "first_name": "JUSTIN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "201105-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polina Cherpel, SRNA
• Donald Cherr, MD
• Mary Cherran, M.D.
• Rochelle Denise Cherry, LPN
• Tracy Cherry, RD, CDN
• Wendy T Cheruiyot, FNP
• Haley Elizabeth Chesbro, MD
• Jennifer Marie Chesebro, FNP-BC
• Reno John Cheshire, RN
• Amy M Chesire, CSW

• Emergency Medical Services (Emergency Medicine) Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Emergency Medical Services (Emergency Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.