Individual provider Active NPI

Jonathan Sealander, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1255731832
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012561 Issued in NY
Practice address
1598 Penfield Rd
Roc City Wellness
Rochester, NY 14625-2251
Phone
(585) 420-8435
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012561 NY Primary

Addresses

Primary practice location

1598 Penfield Rd
Roc City Wellness
Rochester, NY 14625-2251

Mailing address

1598 Penfield Rd
Roc City Wellness
Rochester, NY 14625-2251
Phone (585) 420-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012561NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1255731832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 PENFIELD RD",
            "address_2": "ROC CITY WELLNESS",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252251",
            "telephone_number": "585-420-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 PENFIELD RD",
            "address_2": "ROC CITY WELLNESS",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252251",
            "telephone_number": "585-420-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALANDER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.