Individual provider Active NPI

Paulette Diane Skouvakis, D.C.

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1174670525
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000826 Issued in DE
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

Updated by the provider on May 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606001506 DE Practitioner - Chiropractic 7315994498 Reassigns benefits to 1 organization

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
Vitality Chiropractic and Rehabilitation LLCGroup PAC ID 0648310482, 2 clinicians

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

LicenseStateTypeSpecialty
F1-0000826DEMDChiropractor
DC009626PAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Chiropractic and Rehabilitation LLC CurrentSince Nov 25, 2024 Accepting new patients
Denville Medical Health Center & Sports Rehab P.C. Chiropractor PastSince Jan 1, 2003 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.

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.

Verify at the official NPI Registry.