Individual provider Active NPI

Leonor Khalifa, ESTHETICIAN

  • Personal Care Attendant
  • Bronx, NY
National Provider Identifier
1275415952
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
AEE-19-01694 Issued in NY
Practice address
314 W 231St St FL 1
Bronx, NY 10463-3805
Phone
(347) 677-5675
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X AEE-19-01694 NY Primary

Addresses

Primary practice location

314 W 231St St FL 1
Bronx, NY 10463-3805

Mailing address

314 W 231St St FL 1
Bronx, NY 10463-3805
Phone (347) 677-5675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AEE-19-01694NYMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Skin Laser Spa, Inc Current Accepting new patients

Locations

314 W 231st St
Fl 1
Bronx, NY 10463
Phone (347) 677-5675

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1275415952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W 231ST ST FL 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633805",
            "telephone_number": "347-677-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 231ST ST FL 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633805",
            "telephone_number": "347-677-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFA",
        "first_name": "LEONOR",
        "credential": "ESTHETICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NY",
            "license": "AEE-19-01694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.