Individual provider Active NPI

Stanley K Lubinga, MD

  • Anesthesiology Physician
  • Syracuse, NY
National Provider Identifier
1699796854
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
249222-1 Issued in NY
Practice address
301 Prospect Ave.
Syracuse, NY 13203
Phone
(315) 299-5451
Fax
(855) 851-4405
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 249222-1 NY Primary

Addresses

Primary practice location

301 Prospect Ave.
Syracuse, NY 13203

Mailing address

PO Box 535750
Atlanta, GA 30353-5750
Phone (866) 507-5244

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
I20050301000732 NY Practitioner - Anesthesiology 1456331842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph'S Physician Health PCGroup PAC ID 9436041431, 125 clinicians
Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Practice addresses (Care Compare)

104 Union Ave
806 807
Syracuse, NY 13203-1843
Phone (315) 422-4442

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Hospital & facility affiliations

  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002281NYMDAcupuncturist
249222-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
River Hospital, Inc. CurrentSince Oct 29, 2013 Accepting new patients
Oswego Hospital CurrentSince May 9, 2011 Accepting new patients
River Hospital, Inc. CurrentSince Oct 29, 2013 Accepting new patients
St. Joseph'S Physician Health, P.C. Anesthesiology CurrentSince Jun 10, 2024 Accepting new patients
Parish Anesthesia of Monroe, LLC Anesthesiology Past Accepting new patients
Ontario Medical Practice PC Anesthesiology Past Accepting new patients
Holy Family Memorial Inc Past Accepting new patients
Advanced Anesthesia Associates,Inc Anesthesiology Past Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

5856 Scenic Ave
Mexico, NY 13114
Phone (315) 963-4133

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

Interoperability endpoints

  • Direct secure messaging: slubinga2389834@direct.trinity-health.org
  • Direct secure messaging: slubinga@oswegohealth.hiemail.healtheconnections.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1699796854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303535750",
            "telephone_number": "866-507-5244",
            "fax_number": "954-858-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-299-5451",
            "fax_number": "855-851-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBINGA",
        "first_name": "STANLEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "249222-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.