Active NPI
Maxine Lubkin, MSN, ANP-C
- Adult Health Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 303331
- Practice address
- 800 Carter St
Rochester, NY 14621-2604 - Phone
- (585) 922-4136
- Fax
- (585) 922-5761
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F303331 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 303331 | NY | Primary |
Addresses
Primary practice location
800 Carter St
Rochester, NY 14621-2604
Mailing address
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4136
Other practice location 1
1065 Senator Keating Blvd
Rochester, NY 14618-2600
Phone (585) 922-4136
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01131126/RGH | Medicaid | NY | |
| P019303331 | Other | NY | BC/BS OF ROCHESTER PROVID |
| 02699801 | Medicaid | NY | |
| G0187459590 | Other | NY | EXCELLUS/HMO GROUP NUMBER |
| NP0826 | Other | NY | PREFERRED CARE PROVIDER N |
| P019303331 | Other | NY | EXCELLUS/HMO PROVIDER NUM |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303331 | NY | MD | Adult Health Nurse Practitioner |
| F303331 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Greater Rochester Digestive & Liver Diseases Center | Past | Accepting new patients | |
| William Y. Chey, M.D., D.SC. & Associates for Digestive and Liver Dise | Past | Accepting new patients |
Locations
199 Parrish St
Canandaigua, NY 14424
Phone (585) 394-2520
1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400
1065 Senator Keating Blvd
Rochester, NY 14618
Phone (585) 256-1330
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1861568594
-
- Ambulatory Surgical Clinic/Center
- Rochester, NY
- NPI 1366640575
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1720003684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1841215795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-4136",
"fax_number": "585-922-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CARTER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146212604",
"telephone_number": "585-922-4136",
"fax_number": "585-922-5761"
}
],
"practiceLocations": [
{
"address_1": "1065 Senator Keating Blvd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146182600",
"country_code": "US",
"telephone_number": "585-922-4136",
"fax_number": "585-922-5761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUBKIN",
"first_name": "MAXINE",
"name_prefix": "Ms.",
"credential": "MSN, ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303331",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "303331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01131126/RGH",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF ROCHESTER PROVID",
"identifier": "P019303331",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02699801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS/HMO GROUP NUMBER",
"identifier": "G0187459590",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE PROVIDER N",
"identifier": "NP0826",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS/HMO PROVIDER NUM",
"identifier": "P019303331",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.