Deify Laser & Beauty Lounge

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DEIFY LASER & BEAUTY LOUNGE

Practice address

134 W. 23Rd St.
New York, NY 10011

Phone

(646) 206-2503

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 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

Ms. Melissa Rose Cavanaugh

Title

Owner

Phone

(646) 206-2503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1619441276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W. 23RD ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "646-206-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W. 23RD ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "646-206-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIFY LASER & BEAUTY LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-206-2503",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Alexis Dehring, FNP-C
• Elizabeth Ray Dei Rossi, M.D.
• Ellie Deianni, MD
• Diana Deidan Deidan, DDS
• Therese Deierlein, AUD
• Laura J Deinnocentiis, LMSW
• Susan Mary Deisroth, LCSW
• Marc W Deitch, MD
• Alyssa Deitchman, PH.D.
• Philip Laurence Dejager, MD PHD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.