Individual provider Active NPI

Oksana Lyubarsky, MD

  • Psychiatry Physician
  • Santa Fe, NM
National Provider Identifier
1891737318
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2003-0090 Issued in NM
Practice address
2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Phone
(505) 986-9633
Fax
(505) 820-1209
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2003-0090 NM Primary

Addresses

Primary practice location

2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351

Mailing address

2960 Rodeo Park Drive West
Santa Fe, NM 87505-7507
Phone (505) 986-9633

Other identifiers 1

IdentifierTypeStateIssuer
90603061MedicaidNM

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2003-0090NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downstate Mental Hygiene Associates Past Accepting new patients

Organizations & group practices 1

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1891737318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 RODEO PARK DRIVE WEST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057507",
            "telephone_number": "505-986-9633",
            "fax_number": "505-820-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 RODEO PARK DR W",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056351",
            "telephone_number": "505-986-9633",
            "fax_number": "505-820-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYUBARSKY",
        "first_name": "OKSANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2003-0090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90603061",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.