Organization Active NPI

Magic Touch Laser & Skin Lab

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1649198821
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MAGIC TOUCH LASER & SKIN LAB
Practice address
1362 Grand Concourse
Bronx, NY 10456-1207
Phone
(646) 633-8979
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Yaritza Reyes, ESTETITHIAN
Title
Estetithian
Phone
(646) 633-8979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1362 Grand Concourse
Bronx, NY 10456-1207

Mailing address

1362 Grand Concourse
Bronx, NY 10456-1207
Phone (646) 633-8979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1649198821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104561207",
            "telephone_number": "646-633-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104561207",
            "telephone_number": "646-633-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC TOUCH LASER & SKIN LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "YARITZA",
        "authorized_official_title_or_position": "ESTETITHIAN",
        "authorized_official_telephone_number": "646-633-8979",
        "authorized_official_credential": "ESTETITHIAN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.