Simply Timeless Beauty LLC

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

Legal business name

SIMPLY TIMELESS BEAUTY LLC

Practice address

657 E Bay Ave Unit 1
Manahawkin, NJ 08050-3363

Phone

(732) 330-4799

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Ngoctu Thi Phan

Title

Owner

Phone

(732) 330-4799

Specialties & licenses 1

Addresses

Other names 1

• Simplicity Beauty Studio Doing business as

Locations

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1083285605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E BAY AVE UNIT 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503363",
            "telephone_number": "732-330-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E BAY AVE UNIT 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503363",
            "telephone_number": "732-330-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY TIMELESS BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "NGOCTU",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-330-4799"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simplicity Beauty Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Art Specialist/Technologist in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Medical Art Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.