Organization Active NPI

Spa-Aac

  • Dermatology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1841895141
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SPA-AAC
Doing business as
THE SPA @ALTMAN AESTHETICS
Practice address
570 Sylvan Ave
Englewood Cliffs, NJ 07632-3132
Phone
(201) 569-3334
Fax
(201) 569-3321
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Diane Rein
Title
Medical Billing Director
Phone
(201) 569-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

570 Sylvan Ave
Englewood Cliffs, NJ 07632-3132

Mailing address

570 Sylvan Ave
Englewood Cliffs, NJ 07632-3132
Phone (201) 569-3334

Other names 1

  • THE SPA @ALTMAN AESTHETICS Doing business as

National Provider Directory

National Provider Directory

Locations

570 Sylvan Ave
Fl 1
Englewood Cliffs, NJ 07632
Phone (201) 387-7444

570 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 569-3334

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": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1841895141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323132",
            "telephone_number": "201-569-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323132",
            "telephone_number": "201-569-3334",
            "fax_number": "201-569-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA-AAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "REIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MEDICAL BILLING DIRECTOR",
        "authorized_official_telephone_number": "201-569-3334"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SPA @ALTMAN AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.