1St Impression Salon LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

1ST IMPRESSION SALON LLC

Practice address

6818 Market St
Upper Darby, PA 19082-2439

Phone

(267) 970-3888

NPI assigned

Feb 21, 2018

Last updated

Feb 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zakiyyah SulukiNPI 1700397437

Title

Owner

Phone

(267) 970-3888

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zakiyyah Suluki, CERTIFIED HAIR LOSS

  • Prosthetics Case Management
  • King of Prussia, PA
  • NPI 1700397437
  NPD (past) Authorized official

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1134620503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822439",
            "telephone_number": "267-970-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822439",
            "telephone_number": "267-970-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST IMPRESSION SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "SULUKI",
        "authorized_official_first_name": "ZAKIYYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-970-3888"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "PA",
            "license": "CT020639L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Prosthetics Case Management in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.