Organization Active NPI

Labush Chiropractic LLC

  • Chiropractor
  • Cranford, NJ
National Provider Identifier
1790286672
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00566900 Issued in NJ
Legal business name
LABUSH CHIROPRACTIC LLC
Practice address
230 Centennial Ave
Cranford, NJ 07016-3137
Phone
(908) 888-0270
Fax
(908) 333-6262
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Dr. Jill Labush, DCNPI 1063570893
Title
Doctor
Phone
(908) 888-0270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00566900 NJ Primary

Addresses

Primary practice location

230 Centennial Ave
Cranford, NJ 07016-3137

Mailing address

230 Centennial Ave
Cranford, NJ 07016-3137
Phone (908) 888-0270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180411000809 NJ Part B Supplier - Clinic/Group Practice 0941563647 Receives reassigned benefits from 1 practitioner
Practice locations: Cranford, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1790286672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CENTENNIAL AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163137",
            "telephone_number": "908-888-0270",
            "fax_number": "908-333-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CENTENNIAL AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163137",
            "telephone_number": "908-888-0270",
            "fax_number": "908-333-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABUSH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "LABUSH",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "908-888-0270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00566900",
            "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 Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.