Provider Demographics
NPI:1255014403
Name:AB INNOVATIONS
Entity type:Organization
Organization Name:AB INNOVATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-501-5630
Mailing Address - Street 1:3 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:NEW EGYPT
Mailing Address - State:NJ
Mailing Address - Zip Code:08533-1624
Mailing Address - Country:US
Mailing Address - Phone:732-501-5630
Mailing Address - Fax:
Practice Address - Street 1:3 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:NEW EGYPT
Practice Address - State:NJ
Practice Address - Zip Code:08533-1624
Practice Address - Country:US
Practice Address - Phone:732-501-5630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health