Individual provider Active NPI

Igal Dubov, D.C.

  • Chiropractor
  • Wall Township, NJ
National Provider Identifier
1255434247
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00570400 Issued in NJ
Practice address
1985 State Route 34
BLDG a Unit A5
Wall Township, NJ 07719-9100
Phone
(732) 974-0044
Fax
(732) 974-7044
NPI assigned
Sep 6, 2006
Reactivated
Dec 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00570400 NJ Primary

Addresses

Primary practice location

1985 State Route 34
BLDG a Unit A5
Wall Township, NJ 07719-9100

Mailing address

1985 State Route 34
BLDG a Unit A5
Wall Township, NJ 07719-9100
Phone (732) 974-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009886NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Med Well Current Accepting new patients
Klein Medical Services Current Accepting new patients

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1255434247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 STATE ROUTE 34",
            "address_2": "BLDG A UNIT A5",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199100",
            "telephone_number": "732-974-0044",
            "fax_number": "732-974-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 STATE ROUTE 34",
            "address_2": "BLDG A UNIT A5",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199100",
            "telephone_number": "732-974-0044",
            "fax_number": "732-974-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOV",
        "first_name": "IGAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-12-04",
        "deactivation_date": "2017-08-01",
        "reactivation_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00570400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.