Organization Active NPI

Second Look Aesthetics Inc

  • Internal Medicine Physician
  • Wayne, PA
National Provider Identifier
1821897968
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SECOND LOOK AESTHETICS INC
Practice address
569 County Line Rd
Wayne, PA 19087-3718
Phone
(484) 535-2454
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Dr. Anshi Thapliyal, MDNPI 1962698324
Title
Physician Sole Member
Phone
(484) 535-2454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

569 County Line Rd
Wayne, PA 19087-3718

Mailing address

569 County Line Rd
Wayne, PA 19087-3718
Phone (484) 535-2454

Other practice location 1

3485 Davisville Rd
Hatboro, PA 19040-4220
Phone (503) 400-1017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416003125 PA Part B Supplier - Clinic/Group Practice 4688199243 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, PA

National Provider Directory

National Provider Directory

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": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1821897968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 COUNTY LINE RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873718",
            "telephone_number": "484-535-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 COUNTY LINE RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873718",
            "telephone_number": "484-535-2454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3485 Davisville Rd",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190404220",
            "country_code": "US",
            "telephone_number": "503-400-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SECOND LOOK AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "THAPLIYAL",
        "authorized_official_first_name": "ANSHI",
        "authorized_official_title_or_position": "PHYSICIAN SOLE MEMBER",
        "authorized_official_telephone_number": "484-535-2454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.