New Age Aesthetics, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

304234 Issued in NY

Legal business name

NEW AGE AESTHETICS, LLC

Practice address

161 Madison Ave
Suite 9SE
New York, NY 10016-5421

Phone

(844) 633-5686

Fax

(844) 633-5686

NPI assigned

Mar 22, 2015

Organization subpart

No

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

Authorized official

Name

Gaspar Rosario, N.P.

Title

Nurse Practitioner

Phone

(844) 633-5686

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426982400000",
    "number": "1316331978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE",
            "address_2": "SUITE 9SE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165421",
            "telephone_number": "844-633-5686",
            "fax_number": "844-633-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE",
            "address_2": "SUITE 9SE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165421",
            "telephone_number": "844-633-5686",
            "fax_number": "844-633-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "GASPAR",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "844-633-5686",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304234",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00162800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederic K Nevins, OD
• Grace Catherine Nevins, LMSW
• Lynn Nevins
• Morgan Nevins, LMSW
• Shari Nevins, LCSW
• New Age Care LLC
• New Age Optical Corporation
• New Alternatives for Children Inc.
• New Alternatives for Children Inc.
• New Alternatives for Children Inc.

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.