Active NPI
Marc Alan Lubin, M.D.
- Urology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 289625
- Practice address
- 745 64TH St, 4TH FLR
Brooklyn, NY 11220-4753 - Phone
- (718) 283-6903
- NPI assigned
- Sep 14, 2009
- Last updated
- Apr 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 289625 | NY | Primary |
Addresses
Primary practice location
745 64TH St, 4TH FLR
Brooklyn, NY 11220-4753
Mailing address
745 64TH St, 4TH FLR
Brooklyn, NY 11220-4753
Phone (718) 283-6903
Other practice location 1
One Gustave L. Levy Place
Department of Urology
New York, NY 10029-6574
Phone (212) 241-6696
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7746
Hospital & facility affiliations
- Maimonides Medical Center
- Wyckoff Heights Medical Center
- New York Community Hospital of Brooklyn, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289625 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Maimonides Urology FPP | Urology | Current | Accepting new patients |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| Wyckoff Heights Medical Center | Past | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
745 64th St
Ste 4
Brooklyn, NY 11220
Phone (718) 283-6903
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- marclubin@mai.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Brooklyn, NY
- NPI 1619271913
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1215030697
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1518290188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 64TH ST, 4TH FLR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204753",
"telephone_number": "718-283-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 64TH ST, 4TH FLR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204753",
"telephone_number": "718-283-6903"
}
],
"practiceLocations": [
{
"address_1": "One Gustave L. Levy Place",
"address_2": "Department of Urology",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296574",
"country_code": "US",
"telephone_number": "212-241-6696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUBIN",
"first_name": "MARC",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "289625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.