NPIMap

Organization Active NPI

Newgen Aesthetics & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Mangilao, GU
National Provider Identifier
1467908673
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEWGEN AESTHETICS & WELLNESS, LLC
Practice address
263 Vietnam Veterans Memorial Hwy
Mangilao, GU 96913
Phone
(671) 486-5826
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Leonard Patrick Campos, DPTNPI 1407127871
Title
Clinic Director
Phone
(671) 735-8000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

263 Vietnam Veterans Memorial Hwy
Mangilao, GU 96913

Mailing address

PO Box 217954
Barrigada, GU 96921-6957
Phone (671) 735-8000

Other names 1

  • NewGen Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

643 Chalan San Antonio
Ste 108
Tamuning, GU 96913
Phone (671) 735-8000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1467908673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217954",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969216957",
            "telephone_number": "671-735-8000",
            "fax_number": "671-735-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 VIETNAM VETERANS MEMORIAL HWY",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-486-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWGEN AESTHETICS & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "671-735-8000",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewGen Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NewGen Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mangilao, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.