Christine Sedlacek, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA05032500 Issued in NJ

Practice address

29 Lakeshore Dr
Rockaway, NJ 07866-1405

Phone

(973) 627-9201

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: christine.sedlacek.1@21022.direct.athenahealth.com

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497801872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LAKESHORE DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661405",
            "telephone_number": "973-627-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LAKESHORE DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661405",
            "telephone_number": "973-627-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05032500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Savage, MD
• Jill Saxon, O.D.
• William Joseph Scheuing, MD
• Connor Scott Schrack
• Edward Robert Schuhlein, CPRS
• Rachel Sellen, MS, RD
• Serene Mental Health Services LLC
• Seva Healthcare Services
• Aadya Sharma, MD
• Helen L Shasa-Rotile, LCSW

• Family Medicine Physician in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Family Medicine Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.