Provider Demographics
NPI:1508939422
Name:DUBIN CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:DUBIN CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:DUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-794-6260
Mailing Address - Street 1:29-15 FAIR LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3412
Mailing Address - Country:US
Mailing Address - Phone:201-794-6260
Mailing Address - Fax:201-794-1985
Practice Address - Street 1:29-15 FAIR LAWN AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3412
Practice Address - Country:US
Practice Address - Phone:201-794-6260
Practice Address - Fax:201-794-1985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013532OtherAMERICAN SPECIALTY HEALTH
582363OtherUNITED HEALTHCARE
NJ99904OtherAMERIGROUP
050002423NJ01OtherANTHEM HEALTH
0935265OtherAETNA HMO POS
NJ1389408Medicaid
32343OtherMASTERCARE
X5254OtherEMPIRE BLUE CROSS
4358342OtherAETNA PPO
NJX5254OtherWELLCHOICE
X5254OtherEMPIRE BLUE CROSS
1013532OtherAMERICAN SPECIALTY HEALTH
32343OtherMASTERCARE
=========OtherCIGNA
=========OtherDEVON HEALTH