Individual provider Active NPI

Robert Simcsak Jr., D.C.

  • Chiropractor
  • Newtown, PA
National Provider Identifier
1477567832
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4777L Issued in PA
Practice address
11 Friends LN
Suite 110
Newtown, PA 18940-1803
Phone
(215) 860-3256
Fax
(215) 579-1453
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 DC4777L PA Primary

Addresses

Primary practice location

11 Friends LN
Suite 110
Newtown, PA 18940-1803

Mailing address

11 Friends LN
Suite 110
Newtown, PA 18940-1803
Phone (215) 860-3256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000475 PA Practitioner - Chiropractic 0941206338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village at Newtown Medical Center PCGroup PAC ID 9335127265, 4 clinicians

Practice addresses (Care Compare)

11 Friends LN
Suite 101
Newtown, PA 18940-1885
Phone (215) 579-1300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4777LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Village at Newtown Medical Center PC CurrentSince Jan 7, 2008 Accepting new patients

Locations

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

11 Friends Ln
Ste 110
Newtown, PA 18940
Phone (215) 860-3256

Organizations & group practices 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1477567832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN",
            "address_2": "SUITE 110",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401803",
            "telephone_number": "215-860-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN",
            "address_2": "SUITE 110",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401803",
            "telephone_number": "215-860-3256",
            "fax_number": "215-579-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMCSAK",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC4777L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.