Organization Active NPI

Nirvana Aestheticsmd LLC

Doing business as Forever Young Complete Healthcare

  • Primary Care Clinic/Center
  • Berkeley Heights, NJ
National Provider Identifier
1144525163
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA07326100 Issued in NJ
Legal business name
NIRVANA AESTHETICSMD LLC
Doing business as
Forever Young Complete Healthcare
Practice address
152 Snyder Ave
Berkeley Heights, NJ 07922-1101
Phone
(908) 255-9840
NPI assigned
Jan 22, 2011
Last updated
Jan 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Authorized official

Name
Dr. Smita Arora, MD
Title
Owner
Phone
(908) 255-9840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA07326100 NJ Primary

Addresses

Primary practice location

152 Snyder Ave
Berkeley Heights, NJ 07922-1101

Mailing address

152 Snyder Ave
Berkeley Heights, NJ 07922-1101
Phone (908) 255-9840

Other names 1

  • FOREVER YOUNG COMPLETE HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1144525163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SNYDER AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221101",
            "telephone_number": "908-255-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SNYDER AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221101",
            "telephone_number": "908-255-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA AESTHETICSMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "SMITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-255-9840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07326100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREVER YOUNG COMPLETE HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.