Active NPI
Paulette Diane Skouvakis, D.C.
- Chiropractor
- Wilmington, DE
National Provider Identifier
1174670525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F1-0000826
- Practice address
- 1800 Naamans Rd
Suite 1
Wilmington, DE 19810-2600 - Phone
- (302) 475-3200
- Fax
- (302) 475-2516
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC009626 | PA | |
| Rehabilitation Chiropractor | 111NR0400X | 38MC00635700 | NJ | |
| Chiropractor | 111N00000X | F1-0000826 | DE | Primary |
Addresses
Primary practice location
1800 Naamans Rd
Suite 1
Wilmington, DE 19810-2600
Mailing address
1327 N West St
Wilmington
Wilmington, DE 19801-1027
Phone (267) 844-0291
Other names 1
- Paulette Diane Matuszewski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Silverside Rd
Suite 5
Wilmington, DE 19810-3724
Phone (302) 777-0778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1-0000826 | DE | MD | Chiropractor |
| DC009626 | PA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Chiropractic and Rehabilitation LLC | Current | Accepting new patients | |
| Denville Medical Health Center & Sports Rehab P.C. | Chiropractor | Past | Accepting new patients |
Locations
1702 Kirkwood Hwy
Ste 101
Wilmington, DE 19805
Phone (302) 507-1075
2700 Silverside Rd
Ste 5
Wilmington, DE 19810
Phone (302) 478-1975
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 and National Provider Directory roles.
-
- Point of Service
- Wilmington, DE
- NPI 1669708723
-
- Chiropractor
- Denville, NJ
- NPI 1003836420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1174670525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 N WEST ST",
"address_2": "WILMINGTON",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011027",
"telephone_number": "267-844-0291",
"fax_number": "302-475-2516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NAAMANS RD",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198102600",
"telephone_number": "302-475-3200",
"fax_number": "302-475-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOUVAKIS",
"first_name": "PAULETTE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC009626",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "38MC00635700",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULETTE",
"last_name": "MATUSZEWSKI",
"middle_name": "DIANE",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.