Ikonija Sekulovich Joy, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G25370 Issued in CA

Practice address

920 E Wardlow Rd
Long Beach, CA 90807-4630

Phone

(562) 427-8944

Fax

(562) 427-4086

NPI assigned

Sep 15, 2006

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

Other names 1

• Dr. Connie Sekulovich Joy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Plasticare Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Long Beach, CA
  • NPI 1437402054
  NPD (past) Authorized official
• California Anesthesia Associates Medical Group, Inc.

  • Anesthesiology Physician
  • Long Beach, CA
  • NPI 1457399933
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528164126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074630",
            "telephone_number": "562-427-8944",
            "fax_number": "562-427-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074630",
            "telephone_number": "562-427-8944",
            "fax_number": "562-427-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "IKONIJA",
        "middle_name": "SEKULOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G25370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "JOY",
            "middle_name": "SEKULOVICH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shivali Joshi, DO
• Joshua Shipp, LLC
• Juan Carlo Bautista Joson
• Veronique Hedwige Jotterand, M.D.
• Brian Kenji Jow, DDS
• Kristina Ju
• Vanessa Rangel Juan
• Jocellyn Ramirez Juanillo, ACSW113455
• Adamaris Juarez
• Ajene Gabrielle Juarez

• Plastic and Reconstructive Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.