Luxxe Medspa Inc
Organization Active NPI Clinic/Center · Garden City, NY
NPI 1124808712 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1124808712
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- LUXXE MEDSPA INC
- Practice address
- 233 7TH St Ste 303
Garden City, NY 11530-5747 - Phone
- (419) 231-0741
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Desrene Brown
- Title
- Owner
- Phone
- (419) 231-0741
Practitioners 4
-
Desrene K Brown, MD
-
Ruth Jean Randi, DDS
-
Catherine M Skarulis, DMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231026002409 | NY | Part B Supplier - Clinic/Group Practice | 5092161042 |
Receives reassigned benefits from 1 practitioner Practice locations: Garden City, NY |
National Provider Directory
Locations
233 7th St
Ste 303
Garden City, NY 11530
Phone (419) 231-0741
233 7th St
Ste 3003
Garden City, NY 11530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician |
207VG0400X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
233 7TH St Ste 303
Garden City, NY 11530-5747
Mailing address
233 7TH St Ste 303
Garden City, NY 11530-5747
Phone (419) 231-0741
Other providers in Garden City, NY
- Elizabeth S. Lustrin
- Judi A. Luttieri
- Luxottica of America Inc
- Luxottica of America Inc.
- Luxottica of America Inc.
- Luz M Alvarez MD PC
- Chloe-Kristelle Alojado Luzong
- Kyle Lynam
- James J Lynch
- Kathleen Mary Lynch
All providers in Garden City, NY · Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.