L'Elite Medispa Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

L'ELITE MEDISPA INC.

Practice address

506B Walt Whitman Rd
Melville, NY 11747-2109

Phone

(631) 824-6648

Fax

(631) 824-9039

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By 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

Richina Lukes-Milledge, NPNPI 1487244646

Title

Nurse Practitioner/Owner

Phone

(631) 455-1965

Specialties & licenses 1

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.

• Richina J Lukes-Milledge, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Melville, NY
  • NPI 1487244646
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1235719063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 WALT WHITMAN RD STE 190",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464149",
            "telephone_number": "631-824-6648",
            "fax_number": "631-824-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506B WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472109",
            "telephone_number": "631-824-6648",
            "fax_number": "631-824-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L'ELITE MEDISPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "LUKES-MILLEDGE",
        "authorized_official_first_name": "RICHINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "631-455-1965",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Kucia
• Subhash Vinayak Kulkarni, MD
• E. Michelle Kun, DDS
• Satu M Kuokkanen, MD, PHD
• Irine Mariam Kurian
• Lauren M La Rosa
• Lourdes M La Serna
• Toni Antoinette Labarbera, LMHC, CASAC-T
• Alexandre Labesse, RN
• Monsurat Modupe Ladejobi

• Primary Care Clinic/Center in Melville, NY
• Providers in Melville, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.