Individual provider Active NPI

Jaime L Lubelczyk, D.C., L.AC.

  • Chiropractor
  • Barre, MA
National Provider Identifier
1265634968
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3224 Issued in MA
Practice address
531 Summer St
Barre, MA 01005-9583
Phone
(413) 237-5665
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 Village Inn Rd
Westminster, MA 01473-1660
Phone (978) 875-6200

531 Summer St
Barre, MA 01005-9589
Phone (413) 237-5665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000627 MA Practitioner - Chiropractic 8022275627 Practice locations: Barre, MA; Westminster, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
238695MAMDAcupuncturist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3224 MA Primary
Acupuncturist 171100000X 238695 MA

Addresses

NPPES NPI Registry

Primary practice location

531 Summer St
Barre, MA 01005-9583

Mailing address

PO Box 785
Barre, MA 01005-0785
Phone (413) 237-5665

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2015.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1265634968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "BARRE",
            "state": "MA",
            "postal_code": "010050785",
            "telephone_number": "413-237-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 SUMMER ST",
            "city": "BARRE",
            "state": "MA",
            "postal_code": "010059583",
            "telephone_number": "413-237-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBELCZYK",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3224",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "238695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.