Organization Active NPI

NJ Medical Spas LLC

  • Plastic Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1306098330
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08396400 Issued in NJ
Legal business name
NJ MEDICAL SPAS LLC
Practice address
401 Hackensack Ave FL 10
Hackensack, NJ 07601-6409
Phone
(201) 343-3999
Fax
(201) 343-0554
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Ulysses Scarpidis, M.D.
Title
Medical Director
Phone
(201) 343-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25MA08396400 NJ Primary

Addresses

Primary practice location

401 Hackensack Ave FL 10
Hackensack, NJ 07601-6409

Mailing address

401 Hackensack Ave FL 10
Hackensack, NJ 07601-6409
Phone (201) 343-3999

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1306098330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HACKENSACK AVE FL 10",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016409",
            "telephone_number": "201-343-3999",
            "fax_number": "201-343-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HACKENSACK AVE FL 10",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016409",
            "telephone_number": "201-343-3999",
            "fax_number": "201-343-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ MEDICAL SPAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SCARPIDIS",
        "authorized_official_first_name": "ULYSSES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-343-3999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08396400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.