Individual provider Active NPI

Jay R Trabin, MD

  • Gynecology Physician
  • Port Saint Lucie, FL
National Provider Identifier
1508978032
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME0030448 Issued in FL
Practice address
1405 SE Goldtree Dr Ste D
Port Saint Lucie, FL 34952-7563
Phone
(772) 800-7001
Fax
(772) 877-3539
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME0030448 FL Primary

Addresses

Primary practice location

1405 SE Goldtree Dr Ste D
Port Saint Lucie, FL 34952-7563

Mailing address

8645 N Military Trail
Suite 508
Palm Beach Gardens, FL 33410-6296
Phone (561) 630-8001

Other identifiers 1

IdentifierTypeStateIssuer
50800OtherFLBLUECROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0030448FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seth J Herbst MD PA CurrentSince Sep 22, 2018 Accepting new patients

Locations

1395 S State Road 7
Ste 450
Wellington, FL 33414
Phone (561) 798-1233

560 Village Blvd
Ste 315
West Palm Beach, FL 33409
Phone (561) 616-9988

Interoperability endpoints

  • Direct secure messaging: jay.trabin@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1508978032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 N MILITARY TRAIL",
            "address_2": "SUITE 508",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106296",
            "telephone_number": "561-630-8001",
            "fax_number": "844-971-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE GOLDTREE DR STE D",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527563",
            "telephone_number": "772-800-7001",
            "fax_number": "772-877-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABIN",
        "first_name": "JAY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME0030448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "50800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.