Advanced Medical and Skin Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07806100 Issued in NJ

Legal business name

ADVANCED MEDICAL AND SKIN CARE LLC

Practice address

208 Harristown Rd
Glen Rock, NJ 07452-3308

Phone

(201) 882-1050

Fax

(201) 882-1040

NPI assigned

May 3, 2017

Last updated

Jan 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis Luna, MD

Title

Owner/Medical Director

Phone

(201) 882-1050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Bienstock, PA-C

  • Medical Physician Assistant
  • Hawthorne, NJ
  • NPI 1538363536
  NPD

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1578099081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HARRISTOWN RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523308",
            "telephone_number": "201-882-1050",
            "fax_number": "201-882-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HARRISTOWN RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523308",
            "telephone_number": "201-882-1050",
            "fax_number": "201-882-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL AND SKIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-882-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07806100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Rae Ackerman, OTD, OTR/L
• Connie Putrino Adamek, NP
• Advanced Family Eyecare
• Advanced Medical & Cosmetic Center LLC
• Thomas Nesbitt Ahlborn, M.D.
• Leah Alcid, ANP
• Luisa Antoine, LCSW
• Kristina Mae Anzilotti, OTR/L
• Aof Group LLC

• Internal Medicine Physician in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.