Aesthetic MD of Ny

Primary specialty

SpecialistTaxonomy code 174400000X

License

174108AN Issued in NY

Legal business name

AESTHETIC MD OF NY

Practice address

61 Main St
2ND Floor
Southampton, NY 11968-4870

Phone

(631) 669-2883

Fax

(631) 661-0463

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ronit Adler, MD

Title

Owner

Phone

(631) 669-2883

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1962857987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117020621",
            "telephone_number": "631-669-2883",
            "fax_number": "631-661-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684870",
            "telephone_number": "631-669-2883",
            "fax_number": "631-661-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC MD OF NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "RONIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-669-2883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "174108AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khabiba Abduganieva, PHARMD
• Adriel Abraham
• Ariel Benjamin Abraham, M.D.
• Active East Physical Therapy, P.C.
• Sreya Addanki
• Aisha Ahmad, PHARMD
• Erfan Ahmed, DO
• Rahat Ahmed, MD
• Vito Alamia Jr., M.D.
• Sandra Noelle Alfano, R.D.

• Specialist in Southampton, NY
• Providers in Southampton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.