Active NPI
David Scott Seeley, DC
- Chiropractor
- Bayonne, NJ
National Provider Identifier
1013936368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00547500
- Practice address
- 11 W 25TH St
Bayonne, NJ 07002-3800 - Phone
- (201) 243-9800
- Fax
- (201) 243-9898
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00547500 | NJ | Primary |
Addresses
Primary practice location
11 W 25TH St
Bayonne, NJ 07002-3800
Mailing address
11 W 25TH St
Bayonne, NJ 07002-3800
Phone (201) 243-9800
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60017435 | Other | NJ | HORIZON NJ HEALTH |
| 1006431 | Other | NJ | ASH |
| 1911799 | Other | NJ | UNITED HEALTHCARE |
| 607004400 | Other | NJ | OFFICE OF WORKERS COMP |
| 8274100 | Medicaid | NJ | |
| 2362096 | Other | NJ | AETNA |
| 780215654649460 | Other | NJ | HORIZON BC/BS |
| X7C79 | Other | NJ | WELL CHOICE |
| 9719027 | Other | NJ | CIGNA |
| 5805726 | Other | NJ | GHI |
| P1314472 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040521001353 | NJ | Practitioner - Chiropractic | 3971594433 | Practice locations: Bayonne, NJ; Cranford, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
230 Centennial Ave
Cranford, NJ 07016-3137
Phone (908) 272-2303
449 Ave C
Bayonne, NJ 07002-5105
Phone (201) 243-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00547500 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013936368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 W 25TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023800",
"telephone_number": "201-243-9800",
"fax_number": "201-243-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 W 25TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023800",
"telephone_number": "201-243-9800",
"fax_number": "201-243-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELEY",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00547500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60017435",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "1006431",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1911799",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF WORKERS COMP",
"identifier": "607004400",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8274100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2362096",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BC/BS",
"identifier": "780215654649460",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CHOICE",
"identifier": "X7C79",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9719027",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5805726",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1314472",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.