Active NPI
Elite Skin Care Nyc
- Clinic/Center
- New York, NY
National Provider Identifier
1760965453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1073931341
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.