Organization Active NPI

Es Medical Spa LLC

  • Family Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1487300455
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Feb 28, 2022

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.