Active NPI
Rejuvascalp
- Prosthetic/Orthotic Supplier
- Brooklyn, NY
National Provider Identifier
1366184392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guslene A Bubak, TRICHOLOGLIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 843423211 | Other | NY | HAIR PROSTHESES |
Other names 1
- REJUVASCALP
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Info@thesalonsuiteny.com | ||
| CONNECT URL | scalplov@rejuvascalp.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Prosthetic/Orthotic Supplier
- Brooklyn, NY
- NPI 1174335376
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.