Organization Active NPI

Lyubov Shkarupa Visiting Nurse Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1417590647
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LYUBOV SHKARUPA VISITING NURSE SERVICES LLC
Practice address
2816 Morris Ave Ste 8
Union, NJ 07083-4842
Phone
(908) 333-2922
Fax
(908) 810-8600
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Lyubov Shkarupa, APN
Title
Owner
Phone
(908) 333-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2816 Morris Ave Ste 8
Union, NJ 07083-4842

Mailing address

2816 Morris Ave Ste 8
Union, NJ 07083-4842
Phone (908) 333-2922

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00159700OtherNJSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

2816 Morris Ave
Ste B
Union, NJ 07083

2816 Morris Ave
Ste 8
Union, NJ 07083
Phone (908) 333-2922

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1417590647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 MORRIS AVE STE 8",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834842",
            "telephone_number": "908-333-2922",
            "fax_number": "908-810-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 MORRIS AVE STE 8",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834842",
            "telephone_number": "908-333-2922",
            "fax_number": "908-810-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYUBOV SHKARUPA VISITING NURSE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "SHKARUPA",
        "authorized_official_first_name": "LYUBOV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-333-2922",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26NJ00159700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.