Organization Active NPI

Elite Skin Care Nyc

  • Clinic/Center
  • New York, NY
National Provider Identifier
1760965453
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELITE SKIN CARE NYC
Practice address
42 Broadway FL 12
New York, NY 10004-3892
Phone
(212) 203-7415
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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) 920-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

42 Broadway FL 12
New York, NY 10004-3892

Mailing address

211 E 43Rd St Ste 716
New York, NY 10017-4707
Phone (212) 321-0109

Other practice location 1

305 Broadway Fl 7
New York, NY 10007-1188
Phone (212) 321-0109

National Provider Directory

National Provider Directory

Locations

211 E 43rd St
Ste 716
New York, NY 10017

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": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1760965453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST STE 716",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "212-321-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043892",
            "telephone_number": "212-203-7415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Broadway Fl 7",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100071188",
            "country_code": "US",
            "telephone_number": "212-321-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE SKIN CARE NYC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARZBURG",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-920-7790",
        "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 Sep 12, 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.