Individual provider Active NPI

Alex Lyubarsky, D.C.

  • Chiropractor
  • Cranford, NJ
National Provider Identifier
1255378287
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00556900 Issued in NJ
Practice address
190 North Ave E
Cranford, NJ 07016-2444
Phone
(908) 272-4007
Fax
(908) 272-5077
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00556900 NJ Primary

Addresses

Primary practice location

190 North Ave E
Cranford, NJ 07016-2444

Mailing address

190 North Ave E
Cranford, NJ 07016-2444
Phone (908) 272-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000051 NJ Practitioner - Chiropractic 7416900071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

126 S Ave E
Aandw Chiropractic
Cranford, NJ 07016-2944

190 N Ave E
Suite 1B
Cranford, NJ 07016-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Lyubarsky DC PC Chiropractor CurrentSince Sep 3, 2013 Accepting new patients
Passaic Medical Group PA Past Accepting new patients

Locations

190 North Ave E
Cranford, NJ 07016
Phone (908) 272-4007

190 North Ave E
Ste 1B
Cranford, NJ 07016
Phone (908) 272-4007

126 South Ave E
Cranford, NJ 07016
Phone (908) 709-1903

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1255378287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162444",
            "telephone_number": "908-272-4007",
            "fax_number": "908-272-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162444",
            "telephone_number": "908-272-4007",
            "fax_number": "908-272-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYUBARSKY",
        "first_name": "ALEX",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00556900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.