Organization Active NPI

Beachside Aesthetics & Wellness LLC

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
National Provider Identifier
1164242541
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BEACHSIDE AESTHETICS & WELLNESS LLC
Practice address
1441 Kapiolani Blvd Ste 1401
Honolulu, HI 96814-4407
Phone
(575) 626-9720
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Authorized official

Name
Monica Zelkowski, APRNNPI 1518690585
Title
Nurse Practitioner
Phone
(808) 490-5340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1401
Honolulu, HI 96814-4407

Mailing address

1210 Hall Dr
Roswell, NM 88201-1127

National Provider Directory

National Provider Directory

Locations

1441 Kapiolani Blvd
Ste 1401
Honolulu, HI 96814
Phone (575) 626-9720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733011200000",
    "number": "1164242541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 HALL DR",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882011127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "575-626-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE AESTHETICS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "ZELKOWSKI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "808-490-5340",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; 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.