Active NPI
Rachel Lubinga
- Family Medicine Physician
- Fulton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33963301
- Practice address
- 510 S 4TH St
Fulton, NY 13069-2951 - Phone
- (315) 592-3510
- NPI assigned
- May 24, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1024960 | MA | |
| Family Medicine Physician | 207Q00000X | 33963301 | NY | Primary |
Addresses
Primary practice location
510 S 4TH St
Fulton, NY 13069-2951
Mailing address
510 S 4TH St
Fulton, NY 13069-2951
Phone (315) 592-3510
Other practice location 1
409 W Broadway
South Boston, MA 02127-2245
Phone (617) 269-7500
Other practice location 2
1 Boston Medical Ctr Pl Ste 1
Boston, MA 02118-2999
Phone (617) 638-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rachel.lubinga@reventec.net | Direct |
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
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511
59 S 1St St
Fulton, NY 13069-1704
Phone (315) 598-1237
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1024960 | MA | MD | Family Medicine Physician |
| 33963301 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Rocket Doctor Practice Group, P.C. | Family Medicine | Current | Accepting new patients |
| Port City Emergency Physicians LLP | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Current | Accepting new patients |
Locations
2219 Main St
Santa Monica, CA 90405
Phone (310) 800-1630
447 Broadway
Fl 2
New York, NY 10013
Phone (347) 807-3288
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
Interoperability endpoints
- rlubinga2386889@direct.trinity-health.org
- rlubinga236630@direct.bmc.masshiway.net
- rlubinga652723@direct.ochin.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Oswego, NY
- NPI 1134370547
-
- Family Medicine Physician
- Fulton, NY
- NPI 1275806036
-
- Emergency Medicine Physician
- Newport Beach, CA
- NPI 1194403642
Family Medicine, NY
-
- Emergency Medicine Physician
- Hamilton, NY
- NPI 1316395460
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1922746551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S 4TH ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130692951",
"telephone_number": "315-592-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S 4TH ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130692951",
"telephone_number": "315-592-3510"
}
],
"practiceLocations": [
{
"address_1": "409 W Broadway",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "MA",
"postal_code": "021272245",
"country_code": "US",
"telephone_number": "617-269-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Boston Medical Ctr Pl Ste 1",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182999",
"country_code": "US",
"telephone_number": "617-638-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUBINGA",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "1024960",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "33963301",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rachel.lubinga@reventec.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "510 S 4th St",
"city": "Fulton",
"state": "NY",
"country_code": "US",
"postal_code": "130692951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.