Innovations Med Spa

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

18KT00086500 Issued in NJ

Legal business name

INNOVATIONS MED SPA

Practice address

570 N Broad St Ste 10
Elizabeth, NJ 07208-4301

Phone

(908) 662-7697

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Ana R. Delacruz-Solano

Title

Director of Patient Services

Phone

(908) 662-7697

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ana Rita Delacruz, MASSAGE THERAPIST

  • Massage Therapist
  • Elizabeth, NJ
  • NPI 1316220759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1952750432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N BROAD ST STE 10",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072084301",
            "telephone_number": "908-662-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N BROAD ST STE 10",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072084301",
            "telephone_number": "908-662-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ-SOLANO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT SERVICES",
        "authorized_official_telephone_number": "908-662-7697"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NJ",
            "license": "18KT00086500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shermeen Imtiaz
• Kacy Eunkyung In, APN
• Richard A Inacio, DC
• Injury Brake Chiropractic
• Injury Brake Chiropractic Center, LLC
• Integrated Wound Specialists of Elizabeth, LLC
• International Acupuncture, PC
• Intervention Specialist
• Intervention Specialist
• Intervention Specialists LLC

• Rehabilitation Hospital Unit in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Rehabilitation Hospital Unit in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.