Provider Demographics
NPI:1194779371
Name:BABAYANTS, ALEXANDER R (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:R
Last Name:BABAYANTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 S LIVINGSTON AVE
Mailing Address - Street 2:SUITE 9272
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3014
Mailing Address - Country:US
Mailing Address - Phone:973-218-1868
Mailing Address - Fax:973-218-1868
Practice Address - Street 1:184 S LIVINGSTON AVE
Practice Address - Street 2:# 9272
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3014
Practice Address - Country:US
Practice Address - Phone:973-218-1868
Practice Address - Fax:973-218-1868
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 643732084P0804X, 2084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8701504Medicaid
NJ7001304Medicaid
NJ7001304Medicaid
NJ883342RW8Medicare PIN