Individual provider Active NPI

Robert Sellari, DC

  • Chiropractor
  • North Brunswick, NJ
National Provider Identifier
1194792127
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MCO3665 Issued in NJ
Practice address
1594 Route 130
North Brunswick, NJ 08902-3040
Phone
(732) 821-5900
Fax
(732) 821-7580
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MCO3665 NJ Primary

Addresses

Primary practice location

1594 Route 130
North Brunswick, NJ 08902-3040

Mailing address

1594 Route 130
North Brunswick, NJ 08902-3040
Phone (732) 821-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000710 NJ Practitioner - Chiropractic 1052219367 Practice locations: North Brunswick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1594 Route 130
North Brunswick, NJ 08902-3040
Phone (732) 821-5900

1594 RT 130
N Brunswick, NJ 08902-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCO3665NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Chiropractic Center of NJ LLC Chiropractor PastSince Jan 22, 2012 Accepting new patients
Sellari Chiropractic Center, PC Chiropractor PastSince Jan 1, 1990 Accepting new patients

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1194792127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023040",
            "telephone_number": "732-821-5900",
            "fax_number": "732-821-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023040",
            "telephone_number": "732-821-5900",
            "fax_number": "732-821-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLARI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.