Sansa Med Spa LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SANSA MED SPA LLC

Practice address

505 W Hollis St Ste 211
Nashua, NH 03062-1388

Phone

(978) 245-5885

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Sanjay Gupta, MDNPI 1801803523

Title

Ceo

Phone

(207) 576-3296

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.

• Sanjay Gupta, M.D.

  • Surgical Critical Care Physician
  • Lewiston, ME
  • NPI 1801803523
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1992524672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST STE 211",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621388",
            "telephone_number": "978-245-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST STE 211",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621388",
            "telephone_number": "978-245-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANSA MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-576-3296",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Federico N Sanchez
• Jaelyn Sanchez, RBT
• Fatima Sanders, RPH
• Kelsey Sanders, BCBA
• Manjula Sanikommu, RPH
• Emily Santagati
• Ashley Santana, CMHC
• Mackenzie Santiago
• Heiza Jamis Sanuco, MSN, APRN, FNP-BC
• Samantha Sanzo, BS

• Medical Specialty Clinic/Center in Nashua, NH
• Providers in Nashua, NH by specialty
• Medical Specialty Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.