Individual provider Active NPI

Steven T Sekiya, DO

  • Family Medicine Physician
  • Nutley, NJ
National Provider Identifier
1700985314
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07627600 Issued in NJ
Practice address
175 Franklin Ave Ste 103
Nutley, NJ 07110-2973
Phone
(973) 759-6569
Fax
(973) 759-2562
NPI assigned
Sep 21, 2006
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2297301 NY
Family Medicine Physician 207Q00000X 25MB07627600 NJ Primary

Addresses

Primary practice location

175 Franklin Ave Ste 103
Nutley, NJ 07110-2973

Mailing address

36 Newark Ave
Suite 120
Belleville, NJ 07109-4120
Phone (973) 759-6569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000539 NJ Practitioner - Family PracticePractitioner - General PracticePractitioner - DermatologyPractitioner - Osteopathic Manipulative Medicine 3173513850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2297301NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Aug 1, 2022 Accepting new patients
Vision Eye Physicians and Surgeons LLC PastSince Jan 21, 2020 Accepting new patients

Locations

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1700985314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "SUITE 120",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094120",
            "telephone_number": "973-759-6569",
            "fax_number": "973-759-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FRANKLIN AVE STE 103",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102973",
            "telephone_number": "973-759-6569",
            "fax_number": "973-759-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKIYA",
        "first_name": "STEVEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2297301",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07627600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.