The Beauty Source Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE BEAUTY SOURCE INC.

Practice address

16602 76TH Ave
Fresh Meadows, NY 11366-1253

Phone

(929) 390-2862

Fax

(718) 223-5701

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Zoohra Mashriqi, MDNPI 1295074730

Title

Owner

Phone

(917) 209-5155

Specialties & licenses 2

Addresses

Practitioners 3

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

• Zoohra Mashriqi, MD

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1295074730
  NPD Authorized official
• Nazia Mashriqi, MD, MBA

  • Surgical Critical Care Physician
  • New York, NY
  • NPI 1265877468
  NPD (past)
• Sarah Yakubova, PA-C

  • Physician Assistant
  • Far Rockaway, NY
  • NPI 1336672237
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1508616301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16602 76TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661253",
            "telephone_number": "929-390-2862",
            "fax_number": "718-223-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16602 76TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661253",
            "telephone_number": "929-390-2862",
            "fax_number": "718-223-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEAUTY SOURCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "MASHRIQI",
        "authorized_official_first_name": "ZOOHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-209-5155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TC Children Services Inc
• Venatsa Terreus
• Raicine Mia Terry
• Vichika Than, MD
• Maria Thanjan, MD
• The Queens NP Acute Care P.C.
• Theracontractors Inc
• Andrea Thomas
• Crystal Thomas, M.D.
• Thriftway Union Turnpike Pharmacy LLC

• Primary Care Clinic/Center in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.