Active NPI
Rlscc, LLC
- Dermatology Physician
- Teaneck, NJ
National Provider Identifier
1821395005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- RLSCC, LLC
- Practice address
- 222 Cedar LN
Suite 303
Teaneck, NJ 07666-4314 - Phone
- (201) 836-9696
- NPI assigned
- Feb 23, 2011
- 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
- Dr. Santiago A Centurion
- Title
- Owner
- Phone
- (201) 836-9696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
222 Cedar LN
Suite 303
Teaneck, NJ 07666-4314
Mailing address
222 Cedar LN
Suite 303
Teaneck, NJ 07666-4314
National Provider Directory
National Provider DirectoryLocations
870 Palisade Ave
Ste 302
Teaneck, NJ 07666
Phone (201) 836-9696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1821395005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 CEDAR LN",
"address_2": "SUITE 303",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CEDAR LN",
"address_2": "SUITE 303",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664314",
"telephone_number": "201-836-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RLSCC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-23",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "CENTURION",
"authorized_official_first_name": "SANTIAGO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-836-9696",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.