Individual provider Active NPI

Rachel Lubinga

  • Family Medicine Physician
  • Fulton, NY
National Provider Identifier
1922746551
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33963301 Issued in NY
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

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027001677 NY Practitioner - Family Practice 5496244949 Reassigns benefits to 3 organizations

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
Fulton Family Medicine Practice PCGroup PAC ID 4385806587, 3 clinicians

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

LicenseStateTypeSpecialty
1024960MAMDFamily Medicine Physician
33963301NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Rocket Doctor Practice Group, P.C. Family Medicine CurrentSince Jan 7, 2026 Accepting new patients
Port City Emergency Physicians LLP CurrentSince Sep 16, 2025 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

  • Direct secure messaging: rlubinga2386889@direct.trinity-health.org
  • Direct secure messaging: rlubinga236630@direct.bmc.masshiway.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.