Skintrigue Medi Spa Inc.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SKINTRIGUE MEDI SPA INC.

Practice address

321 Dante CT Ste 18
Holbrook, NY 11741-3846

Phone

(631) 664-5408

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

John Rongo, PA

Title

Vice President

Phone

(631) 664-5408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1306685995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 DANTE CT STE 18",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117413846",
            "telephone_number": "631-664-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 DANTE CT STE 18",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117413846",
            "telephone_number": "631-664-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINTRIGUE MEDI SPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "RONGO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-664-5408",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ila Sharko, LPN
• Jonathan Sholder, PHARMD
• Foazia Siddiq, M.D.
• Phyllis G Simon-Goldman, MD
• Kimberly Ann Sirico-Hamel, LPN
• Ashley Brooke Skipper, R.N.
• Dawn Skoblicki, M.S., CCC/SLP
• Dennis W Slater, LCSW
• Jami M Slater, ATR
• Christine Marie Smith

• Pain Medicine Physician in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.