Active NPI
Tetiana Lyubovich
- Nurse Practitioner
- Phoenixville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP022886
- Practice address
- 824 Main St Ste 306
Phoenixville, PA 19460-4478 - Phone
- (610) 983-1941
- NPI assigned
- Jan 21, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 688621 | PA | |
| Nurse Practitioner | 363L00000X | SP022886 | PA | Primary |
Addresses
Primary practice location
824 Main St Ste 306
Phoenixville, PA 19460-4478
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-5455
Other practice location 1
851 Red Lion Rd Apt A5
Philadelphia, PA 19115-1427
Phone (126) 746-9259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1495
Phone (610) 375-6565
824 Main St
Suite 306
Phoenixville, PA 19460-4478
Phone (610) 983-1530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688621 | PA | MD | Registered Nurse |
| SP022886 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Hospital | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Nurse Practitioner | Current | Accepting new patients |
| Reading Hospital | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Reading Professional Services | Past | Accepting new patients |
Locations
31 Industrial Dr
Ste 150
Hamburg, PA 19526
Phone (610) 376-8671
824 Main St
Ste 302
Phoenixville, PA 19460
Phone (610) 917-9551
824 Main St
Ste 306
Phoenixville, PA 19460
Phone (610) 983-1941
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
296 W Ridge Pike
Royersford, PA 19468
Phone (484) 706-9465
206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437
301 S 7th Ave
Ste 2020
West Reading, PA 19611
1320 Broadcasting Rd
Ste 107
Wyomissing, PA 19610
Phone (484) 628-0319
1320 Broadcasting Rd
Ste 100
Wyomissing, PA 19610
Interoperability endpoints
- https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cardiology Limerick Tower Health Medical Group
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
Nurse Practitioner
-
dba Reading Hospital Radiation Oncology
- Radiation Oncology Physician
- West Reading, PA
- NPI 1992387518
-
dba Telemedicine Phoenixville Tower Health Medical Group
- Neurology Physician
- Phoenixville, PA
- NPI 1275173957
-
dba Phoenixville Surgical Associates
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
-
dba Reading Hospital Center for Public Health
- Infectious Disease Physician
- West Reading, PA
- NPI 1194162537
-
dba Reading Hospital Limerick Pharmacy
- Community/Retail Pharmacy
- Limerick, PA
- NPI 1487468914
-
dba RPS Diabetic Counseling
- Endocrinology, Diabetes & Metabolism Physician
- Reading, PA
- NPI 1457391625
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Phoenixville Hospital
- General Acute Care Hospital
- Phoenixville, PA
- NPI 1750805552
-
dba Pottstown Oncology Associates/Pottstown Obstetrical Associates
- Hematology & Oncology Physician
- Pottstown, PA
- NPI 1093225369
Hospital
-
dba Pottstown Hospital
- General Acute Care Hospital
- Pottstown, PA
- NPI 1649794421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1104416478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 MAIN ST STE 306",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604478",
"telephone_number": "610-983-1941"
}
],
"practiceLocations": [
{
"address_1": "851 Red Lion Rd Apt A5",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191151427",
"country_code": "US",
"telephone_number": "126-746-9259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYUBOVICH",
"first_name": "TETIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2025-02-07",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "688621",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP022886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.