Organization Active NPI

Cosmetic and Wellness Associates of Naples, LLC

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1548653033
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7847 Issued in FL
Legal business name
COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC
Practice address
1250 Pine Ridge Rd
Naples, FL 34108-8913
Phone
(239) 261-9990
Fax
(239) 261-9993
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Diane J BrzezinskiNPI 1447301544
Title
MBR
Phone
(239) 261-9990

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OS7847 FL Primary

Addresses

Primary practice location

1250 Pine Ridge Rd
Naples, FL 34108-8913

Mailing address

1250 Pine Ridge Rd
Naples, FL 34108-8913
Phone (239) 261-9990

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0979078Cosmetic and Wellness Associates of Naples LLC1250 Pine Ridge Rd Unit 101a, Naples, FL 34108Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1548653033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-261-9990",
            "fax_number": "239-261-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-261-9990",
            "fax_number": "239-261-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND WELLNESS ASSOCIATES OF NAPLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "BRZEZINSKI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "239-261-9990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.