Blue Skin Laser Spa, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUE SKIN LASER SPA, INC

Practice address

314 W 231St St
Bronx, NY 10463-3805

Phone

(917) 455-5092

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Leonor KhalifaNPI 1275415952

Title

Owner

Phone

(917) 227-8416

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonor Khalifa, ESTHETICIAN

  • Personal Care Attendant
  • Bronx, NY
  • NPI 1275415952
  NPD Authorized official
• Giselle A Jimenez Caceres, MD

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1245735745
  NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1053149930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633805",
            "telephone_number": "917-455-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIN LASER SPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-227-8416"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blu-White Associated Transportation Service Inc
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• Blue Nile Chariots
• Blue Sky Acupuncture P.C.
• Blue Sky Medical Services PC
• Dekya Blue
• Cheryl Bluestone, PH. D
• Lisa Bluett, LMT

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.