Individual provider Active NPI

Jubin Joseph Cheruvelil, PHD

  • Other Specialist/Technologist
  • East Lansing, MI
National Provider Identifier
1922598515
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
446 W. Circle Dr. Room 249 Annex
Justin S. Morrill Hall of Agriculture
East Lansing, MI 48824
Phone
(517) 432-7604
Fax
(517) 353-4846
NPI assigned
May 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

446 W. Circle Dr. Room 249 Annex
Justin S. Morrill Hall of Agriculture
East Lansing, MI 48824

Mailing address

446 W. Circle Dr. Room 249 Annex
Justin S. Morrill Hall of Agriculture
East Lansing, MI 48824
Phone (517) 432-7604

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1922598515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 W. CIRCLE DR. ROOM 249 ANNEX",
            "address_2": "JUSTIN S. MORRILL HALL OF AGRICULTURE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-432-7604",
            "fax_number": "517-353-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 W. CIRCLE DR. ROOM 249 ANNEX",
            "address_2": "JUSTIN S. MORRILL HALL OF AGRICULTURE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-432-7604",
            "fax_number": "517-353-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUVELIL",
        "first_name": "JUBIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.