Dillon Sage Sklar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042167 Issued in NY

Practice address

16 Ashwood CT
Staten Island, NY 10308-1881

Phone

(718) 689-0914

NPI assigned

Sep 15, 2017

Sex

Male

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Superior Clinical Care PLLC

  • Contractor
  • Staten Island, NY
  • NPI 1154487122
  Medicare reassignment NPD

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1760901284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ASHWOOD CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081881",
            "telephone_number": "718-689-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ASHWOOD CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081881",
            "telephone_number": "718-689-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "DILLON",
        "middle_name": "SAGE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorota Skawinska
• Aliza D Skaya, LCSW
• Mirna Skenderija
• Michael J Skinner, L.C.S.W.
• Kirill Skipalskiy, DPT
• Casandra Skomina, LMHC
• Marshall S. Skopp, D.M.D.
• Alla Skovpenya, R-PAC
• Richard Skow, R.N.
• Jack Skowron, MD

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.