Organization Active NPI

Rejuvascalp

  • Prosthetic/Orthotic Supplier
  • Brooklyn, NY
National Provider Identifier
1366184392
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
REJUVASCALP
Practice address
1734 Flatbush Ave
Brooklyn, NY 11210-4127
Phone
(646) 620-3525
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Guslene A Bubak, TRICHOLOGLISTNPI 1174335376
Title
Founder
Phone
(646) 620-3525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1734 Flatbush Ave
Brooklyn, NY 11210-4127

Mailing address

1734 Flatbush Ave
Brooklyn, NY 11210-4127

Other identifiers 1

IdentifierTypeStateIssuer
843423211OtherNYHAIR PROSTHESES

Other names 1

  • REJUVASCALP Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Info@thesalonsuiteny.com
CONNECT URL scalplov@rejuvascalp.com Direct

National Provider Directory

National Provider Directory

Locations

1734 Flatbush Ave
Brooklyn, NY 11210
Phone (646) 620-3525

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1366184392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104127",
            "telephone_number": "646-620-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVASCALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "BUBAK",
        "authorized_official_first_name": "GUSLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "646-620-3525",
        "authorized_official_credential": "TRICHOLOGLIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAIR PROSTHESES",
            "identifier": "843423211",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@thesalonsuiteny.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "The salon suite",
            "address_1": "1734 Flatbush Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112104127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scalplov@rejuvascalp.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "REJUVASCALP",
            "address_1": "1734 Flatbush Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112104127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "REJUVASCALP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

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