Provider Demographics
NPI:1427497486
Name:ALEX LYUBARSKY DC PC
Entity type:Organization
Organization Name:ALEX LYUBARSKY DC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:LYUBARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-272-4007
Mailing Address - Street 1:190 NORTH AVE E
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2444
Mailing Address - Country:US
Mailing Address - Phone:908-272-4007
Mailing Address - Fax:908-272-5077
Practice Address - Street 1:190 NORTH AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2444
Practice Address - Country:US
Practice Address - Phone:908-272-4007
Practice Address - Fax:908-272-5077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-22
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00556900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU78744Medicare UPIN
NJ035085Medicare PIN