Active NPI
Es Medical Spa LLC
- Family Nurse Practitioner
- Lawrenceville, NJ
National Provider Identifier
1487300455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ES MEDICAL SPA LLC
- Practice address
- 2500 Brunswick Ave Ste 102
Lawrenceville, NJ 08648-4134 - Phone
- (201) 310-7614
- NPI assigned
- Feb 28, 2022
- 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
- Elsa S Olan, NP
- Title
- Owner
- Phone
- (201) 310-7614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2500 Brunswick Ave Ste 102
Lawrenceville, NJ 08648-4134
Mailing address
2500 Brunswick Ave Ste 102
Lawrenceville, NJ 08648-4134
Other names 1
- SNM Medical Clinic
National Provider Directory
National Provider DirectoryLocations
2500 Brunswick Pike
Ste 102
Lawrenceville, NJ 08648
Phone (201) 310-7614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1487300455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BRUNSWICK AVE STE 102",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BRUNSWICK AVE STE 102",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484134",
"telephone_number": "201-310-7614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ES MEDICAL SPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "OLAN",
"authorized_official_first_name": "ELSA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-310-7614",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SNM Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.