Active NPI
New York Aesthetics Consulting and Training
- Clinic/Center
- Mahopac, NY
National Provider Identifier
1417617770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NEW YORK AESTHETICS CONSULTING AND TRAINING
- Practice address
- 530 Route 6
Mahopac, NY 10541-7707 - Phone
- (845) 843-6100
- NPI assigned
- Dec 28, 2021
- 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
- Elaine Suderio, DNP FNP
- Title
- Owner
- Phone
- (845) 843-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
530 Route 6
Mahopac, NY 10541-7707
Mailing address
530 Route 6
Mahopac, NY 10541-7707
Phone (845) 843-6100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1417617770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 ROUTE 6",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105417707",
"telephone_number": "845-843-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 ROUTE 6",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105417707",
"telephone_number": "845-843-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK AESTHETICS CONSULTING AND TRAINING",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-28",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "SUDERIO",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-843-6100",
"authorized_official_credential": "DNP FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.