Provider Demographics
NPI:1700985314
Name:SEKIYA, STEVEN T (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:T
Last Name:SEKIYA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36 NEWARK AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-4120
Mailing Address - Country:US
Mailing Address - Phone:973-759-6569
Mailing Address - Fax:973-759-2562
Practice Address - Street 1:175 FRANKLIN AVE STE 103
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2973
Practice Address - Country:US
Practice Address - Phone:973-759-6569
Practice Address - Fax:973-759-2562
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07627600207Q00000X
NY2297301207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology