Eric a Lubin MD PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

162663 Issued in NY

Legal business name

ERIC A LUBIN MD PC

Practice address

315 Madison Ave
Suite 702
New York, NY 10017-5405

Phone

(646) 791-2105

Fax

(646) 791-2103

NPI assigned

Jun 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eric Alan Lubin, MD

Title

Medical Director

Phone

(646) 791-2105

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1336553221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE",
            "address_2": "SUITE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175405",
            "telephone_number": "646-791-2105",
            "fax_number": "646-791-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE",
            "address_2": "SUITE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175405",
            "telephone_number": "646-791-2105",
            "fax_number": "646-791-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A LUBIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-791-2105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "162663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226719",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in New York, NY
• Providers in New York, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.