Organization Active NPI

Aka Medical Wellness and Aesthetics LLC

  • Family Medicine Physician
  • Woodside, NY
National Provider Identifier
1447864764
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AKA MEDICAL WELLNESS AND AESTHETICS LLC
Practice address
5801 Woodside Ave
Woodside, NY 11377-3437
Phone
(917) 340-8997
NPI assigned
Sep 3, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Karmita Catienza
Title
Ceo
Phone
(904) 210-8025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5801 Woodside Ave
Woodside, NY 11377-3437

Mailing address

250 1St Ave Apt 2B
New York, NY 10009-2612
Phone (904) 210-8025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1447864764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 1ST AVE APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092612",
            "telephone_number": "904-210-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 WOODSIDE AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773437",
            "telephone_number": "917-340-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKA MEDICAL WELLNESS AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "CATIENZA",
        "authorized_official_first_name": "KARMITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-210-8025"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.