Integrative Skin Center, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

INTEGRATIVE SKIN CENTER, PLLC

Practice address

2246 N Monroe St
Monroe, MI 48162-4254

Phone

(646) 287-0734

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Natalie Monet Moulton-Levy, MD

Title

Physician/Owner

Phone

(734) 241-4950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swati Dutta, MD

  • Radiation Oncology Physician
  • Ypsilanti, MI
  • NPI 1225054679
  Medicare reassignment NPD
• Paulette Moulton, M.D.

  • Dermatology Physician
  • Monroe, MI
  • NPI 1396893137

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1316207871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "646-287-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "646-287-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE SKIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "MOULTON-LEVY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "734-241-4950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Ilacqua, CCC-SLP
• Infectious Disease Specialists, Inc.
• Drew Ingels
• Marissa Kay Ingison, CHW
• Pamela Ingram Luckett, S.T.
• Interventional Pain Management Associates, PC
• Intuitive Treatment Center LLC
• Ann Margaret Iott
• Erika Keanani Iott
• Daniel Gary Irwin, OD

• Medical Specialty Clinic/Center in Monroe, MI
• Providers in Monroe, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.