Organization Active NPI

Hush Medical Spa, LLC

  • Multi-Specialty Clinic/Center
  • Williamsport, PA
National Provider Identifier
1700676053
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HUSH MEDICAL SPA, LLC
Practice address
400 Market St Ste 5
Williamsport, PA 17701-6344
Phone
(570) 993-5507
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Dr. Michael Michael Lazar, MD
Title
Co-Owner
Phone
(717) 370-1716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

400 Market St Ste 5
Williamsport, PA 17701-6344

Mailing address

400 Market St Ste 5
Williamsport, PA 17701-6344
Phone (570) 993-5507

National Provider Directory

National Provider Directory

Locations

400 Market St
Ste 5
Williamsport, PA 17701
Phone (570) 560-8704

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1700676053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MARKET ST STE 5",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016344",
            "telephone_number": "570-993-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARKET ST STE 5",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016344",
            "telephone_number": "570-993-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSH MEDICAL SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "717-370-1716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.