Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edwin S Kulubya Jr., MD

Individual provider Orthopaedic Surgery Physician · NPI 1164970372

Dr. Edwin S Kulubya Jr., MD is a Neurosurgery in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Boston Pediatric Neurosurgical Foundation Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
10
Licensed in
MA, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 1015267 (MA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 326226 (NY)

Record details

NPI number1164970372
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 16, 2016
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Boston Pediatric Neurosurgical Foundation Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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