Medspa Solutions, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MEDSPA SOLUTIONS, LLC

Practice address

1810 Erie Blvd E
Syracuse, NY 13210-1230

Phone

(315) 552-1050

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Susan Marvin

Title

Cfo

Phone

(315) 813-1973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1376165159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321234",
            "telephone_number": "315-552-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 ERIE BLVD E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101230",
            "telephone_number": "315-552-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSPA SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-813-1973"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Medina
• Medipro Suppliers Inc.
• Medisource Management, LLC
• Medix Supply Inc.
• Ioana Medrea, M.D.
• Hollie Meehan
• James L Megna, M.D.
• Michael M Meguid, MD
• Victoria Meguid, MD
• Chiaka Chontresse Megwa, MD

• Medical Specialty Clinic/Center in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.