Individual provider Active NPI

Marie Junie Lubin, RN

  • Registered Nurse
  • Woodmere, NY
National Provider Identifier
1841052719
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
451340-1 Issued in NY
Practice address
1086 Lynn PL Apt 6
Woodmere, NY 11598-1333
Phone
(407) 755-9641
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 451340-1 NY Primary

Addresses

Primary practice location

1086 Lynn PL Apt 6
Woodmere, NY 11598-1333

Mailing address

1086 Lynn PL Apt 6
Woodmere, NY 11598-1333
Phone (407) 755-9641

Other names 1

  • Marie Junie Dorval Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
451340-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1841052719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 LYNN PL APT 6",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981333",
            "telephone_number": "407-755-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 LYNN PL APT 6",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981333",
            "telephone_number": "407-755-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "MARIE",
        "middle_name": "JUNIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "451340-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "DORVAL",
            "middle_name": "JUNIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.