Advanced Skin Care

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ADVANCED SKIN CARE

Practice address

3434 Prytania St Ste 420
New Orleans, LA 70115-3502

Phone

(504) 606-8667

Fax

(504) 766-1384

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angie Harden

Title

Manager

Phone

(504) 606-8667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zeena J Al-Dujaili, MD

  • MOHS-Micrographic Surgery Physician
  • New Orleans, LA
  • NPI 1184824393
  Medicare reassignment NPD
• Rachel Demanuelle, PA-C

  • Physician Assistant
  • New Orleans, LA
  • NPI 1760001135
  Medicare reassignment
• Ravi Tandon, M.D.

  • Specialist
  • Metairie, LA
  • NPI 1841462710
  NPD

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1457904658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 PRYTANIA ST STE 420",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153502",
            "telephone_number": "504-606-8667",
            "fax_number": "504-766-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 PRYTANIA ST STE 420",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153502",
            "telephone_number": "504-606-8667",
            "fax_number": "504-766-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SKIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-606-8667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Medical Center of Uptown
• Advantage Foot Care, LLC
• Advocates for Juvenile and Adult Rights (AJAR, Inc.)
• Advocates for Juvenile and Adult Rights (AJAR, Inc.)
• Advocates for Juvenile and Adult Rights (AJAR Inc)
• Af Behavioral Health Services, LLC (Afs)

• Dermatology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.