Individual provider Active NPI

Joseph Edward Sekulski, D.C.

  • Chiropractor
  • Boyertown, PA
National Provider Identifier
1104901214
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007653L Issued in PA
Practice address
34 E Philadelphia Ave
Boyertown, PA 19512-1194
Phone
(610) 367-2870
Fax
(484) 741-6262
NPI assigned
Oct 26, 2006
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007653L PA Primary

Addresses

Primary practice location

34 E Philadelphia Ave
Boyertown, PA 19512-1194

Mailing address

34 E Philadelphia Ave
Boyertown, PA 19512-1194
Phone (610) 367-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000051 PA Practitioner - Chiropractic 5496810764 Reassigns benefits to 1 organization
Practice locations: Boyertown, PA; Reading, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007653LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Community Health Center CurrentSince Apr 1, 2018 Accepting new patients
Berks Community Health Center CurrentSince Apr 1, 2018 Accepting new patients

Locations

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1104901214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E PHILADELPHIA AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121194",
            "telephone_number": "610-367-2870",
            "fax_number": "484-741-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E PHILADELPHIA AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121194",
            "telephone_number": "610-367-2870",
            "fax_number": "484-741-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKULSKI",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007653L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.