Organization Active NPI

Rejuvenation Skin Wellness and Aesthetics

  • Primary Care Clinic/Center
  • Millville, DE
National Provider Identifier
1932877909
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
REJUVENATION SKIN WELLNESS AND AESTHETICS
Practice address
35202 Atlantic Ave
Millville, DE 19967-6901
Phone
(302) 537-8318
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Mrs. Amanda Dempsey Donaway, FNPNPI 1396201182
Title
Nurse Practitioner
Phone
(302) 537-8318

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

35202 Atlantic Ave
Millville, DE 19967-6901

Mailing address

35202 Atlantic Ave
Millville, DE 19967-6901
Phone (302) 537-8318

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": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1932877909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35202 ATLANTIC AVE",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676901",
            "telephone_number": "302-537-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35202 ATLANTIC AVE",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676901",
            "telephone_number": "302-537-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION SKIN WELLNESS AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "DONAWAY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DEMPSEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "302-537-8318",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.