Lockport Medispa & Skincare LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

120905 Issued in NY

Legal business name

LOCKPORT MEDISPA & SKINCARE LLC

Practice address

5862 S Transit Rd
Lockport, NY 14094-6320

Phone

(716) 434-4100

Fax

(716) 434-5100

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 2008By 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

Dr. Kulwant Singh Bhangoo, M.D.

Title

Medical Director

Phone

(716) 434-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1255593505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5862 S TRANSIT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946320",
            "telephone_number": "716-434-4100",
            "fax_number": "716-434-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5862 S TRANSIT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946320",
            "telephone_number": "716-434-4100",
            "fax_number": "716-434-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKPORT MEDISPA & SKINCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BHANGOO",
        "authorized_official_first_name": "KULWANT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "716-434-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "120905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura R Lloyd, FPA-C
• Marykate Lloyd
• Lockport City School District
• Lockport Dental Group, P.C. (LDG Sleep Academy)
• Lockport Foot Care, PLLC
• Lockport Memorial Hospital (Eastern Niagara Medical Group)
• Lockport Orthodontics, P.C.
• Lockport Pharmacy Inc (Lockport Home Medical)
• Lockport Psychology PLLC
• Amy B Lombardo, WHNP

• Plastic Surgery Physician in Lockport, NY
• Providers in Lockport, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.