Individual provider Active NPI

Greg Kulesza, D.C.

  • Chiropractor
  • Saylorsburg, PA
National Provider Identifier
1548533995
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010559 Issued in PA
Practice address
1512 Sherwood Forest Rd
Saylorsburg, PA 18353-8602
Phone
(973) 780-7825
NPI assigned
Feb 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00699900 NJ
Chiropractor 111N00000X DC010559 PA Primary

Addresses

Primary practice location

1512 Sherwood Forest Rd
Saylorsburg, PA 18353-8602

Mailing address

1512 Sherwood Forest Rd
Saylorsburg, PA 18353-8602
Phone (973) 780-7825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000172 PA Practitioner - Chiropractic 0143484352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

702 Village at Stones Crossing Rd
Easton, PA 18045-5081
Phone (610) 844-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00699900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Easton Family Chiropractic LLC Chiropractor CurrentSince Jun 1, 2015 Accepting new patients

Locations

702 Village At Stones Crossing Rd
Easton, PA 18045
Phone (610) 844-4080

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1548533995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 SHERWOOD FOREST RD",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538602",
            "telephone_number": "973-780-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 SHERWOOD FOREST RD",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538602",
            "telephone_number": "973-780-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULESZA",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00699900",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saylorsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.