Individual provider Active NPI

Lyubov Shkarupa, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1881836443
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00159700 Issued in NJ
Practice address
2537 Allen Ave
Union, NJ 07083-3933
Phone
(908) 397-7161
Fax
(973) 921-0166
NPI assigned
Mar 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00159700 NJ Primary

Addresses

Primary practice location

2537 Allen Ave
Union, NJ 07083-3933

Mailing address

2537 Allen Ave
Union, NJ 07083-3933
Phone (908) 397-7161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000954 NJ Practitioner - Nurse Practitioner 7214051861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Freeway Psychiatry PCGroup PAC ID 6901274844, 10 clinicians

Practice addresses (Care Compare)

9225 John F Kennedy Blvd
North Bergen, NJ 07047-5361
Phone (201) 500-9755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00159700NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Psychiatric Associates CurrentSince Jul 11, 2017 Accepting new patients
Freeway Psychiatry PC CurrentSince Aug 1, 2023 Accepting new patients
Hamilton Behavioral MD PA CurrentSince Nov 11, 2017 Accepting new patients
Higher Ground Behavioral Health LLC CurrentSince Dec 1, 2022 Accepting new patients
Centra Medical Group, LLC PastSince Nov 11, 2017 Accepting new patients

Locations

20 E Taunton Rd
Ste 540
Berlin, NJ 08009
Phone (856) 809-2940

294 State St
Ste 2
Hackensack, NJ 07601
Phone (201) 342-4004

9225 Kennedy Blvd
#F
North Bergen, NJ 07047
Phone (201) 500-9755

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

Organizations & group practices 5

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": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1881836443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 ALLEN AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833933",
            "telephone_number": "908-397-7161",
            "fax_number": "973-921-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 ALLEN AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833933",
            "telephone_number": "908-397-7161",
            "fax_number": "973-921-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKARUPA",
        "first_name": "LYUBOV",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00159700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.