Jamie Peter Skurka, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006521 Issued in NY

Practice address

150 Islip Avenue Route 111
Suite #10
Islip, NY 11751

Phone

(630) 859-3420

Fax

(631) 859-0316

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396823787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVENUE ROUTE 111",
            "address_2": "SUITE #10",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "11751",
            "telephone_number": "630-859-3420",
            "fax_number": "631-859-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVENUE ROUTE 111",
            "address_2": "SUITE #10",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "11751",
            "telephone_number": "630-859-3420",
            "fax_number": "631-859-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKURKA",
        "first_name": "JAMIE",
        "middle_name": "PETER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan John Sigouros
• Christine Simcich
• Heather Dayna Simon
• Alexandria Brooke Skurka, PHYSICIAN ASSISTANT
• Christopher D Skurka, DC
• Mark Slovin, D.D.S
• Cheryl Smith-Starace, BS
• Elizabeth C Smith, CCC-SLP
• Grace England Smithers
• Scott A Snyder, DC

• Chiropractor in Islip, NY
• Providers in Islip, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.