Organization Active NPI

Skinly LLC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1659947059
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SKINLY LLC
Practice address
157 E 64TH St FL 2
New York, NY 10065-6645
Phone
(212) 774-4264
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Dmitriy Schwarzburg, MD
Title
Medical Director
Phone
(212) 774-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

157 E 64TH St FL 2
New York, NY 10065-6645

Mailing address

157 E 64TH St FL 2
New York, NY 10065-6645
Phone (212) 774-4264

National Provider Directory

National Provider Directory

Locations

157 E 64th St
Fl 2
New York, NY 10065
Phone (212) 774-4264

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": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1659947059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 64TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656645",
            "telephone_number": "212-774-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 64TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656645",
            "telephone_number": "212-774-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "SCHWARZBURG",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-774-4264",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.