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MRS. KRISTY DYANN LUBAK PA
NPI 1689702292
Physician Assistant - Surgical in Staten Island, NY

Active since March 02, 2007
1534 VICTORY BOULEVARD, STATEN ISLAND, NY 10314(718) 667-3577(718) 667-3043 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kristy Dyann Lubak Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTY DYANN LUBAK PA (NPI 1689702292) is an individual surgical provider in Staten Island, New York, licensed in New York (006234) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1689702292
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. KRISTY DYANN LUBAKCredential: PA
Location Address1534 VICTORY BOULEVARDStaten Island, NY 10314
Mailing Address1534 Victory BoulevardStaten Island, NY 10314 · (718) 667-3577 · Fax (718) 667-3043
Phone(718) 667-3577
Fax(718) 667-3043
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateMay 24, 2012
✔ NPI 1689702292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 006234
1534 VICTORY BOULEVARD, Staten Island, NY 10314
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Other Names 1

Former Name (1)Kristy Heywood

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristy Lubak's NPI number?

The NPI number for Kristy Lubak is 1689702292. It was assigned to this individual provider in the NPPES registry on March 2, 2007. The provider is also known as Kristy Heywood.

Where is Kristy Lubak located?

Kristy Lubak practices at 1534 Victory Boulevard, Staten Island, NY 10314. The listed phone number is (718) 667-3577.

What is Kristy Lubak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kristy Lubak was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.