Active NPI
Nea Aesthetics Company
- Procedural Dermatology Physician
- Miami, FL
National Provider Identifier
1114625381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- NEA AESTHETICS COMPANY
- Practice address
- 14251 SW 42ND St
Miami, FL 33175-6408 - Phone
- (305) 960-7342
- Fax
- (305) 960-7421
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dania Lecusay
- Title
- Manager
- Phone
- (786) 663-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
Primary practice location
14251 SW 42ND St
Miami, FL 33175-6408
Mailing address
14251 SW 42ND St
Miami, FL 33175-6408
Phone (305) 960-7342
National Provider Directory
National Provider DirectoryLocations
14255 SW 42nd St
Miami, FL 33175
Phone (305) 306-3400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676592000000",
"number": "1114625381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14251 SW 42ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756408",
"telephone_number": "305-960-7342",
"fax_number": "305-960-7421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14251 SW 42ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756408",
"telephone_number": "305-960-7342",
"fax_number": "305-960-7421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEA AESTHETICS COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A",
"authorized_official_last_name": "LECUSAY",
"authorized_official_first_name": "DANIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "786-663-1411"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.