Jlyss Aesthetics and Laser LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JLYSS AESTHETICS AND LASER LLC

Practice address

8400 Bustleton Ave Ste 309
Philadelphia, PA 19152-1918

Phone

(215) 668-1613

Fax

(215) 857-2088

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hazel Smith

Title

Co-Owner

Phone

(215) 253-1801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1992619217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 BUSTLETON AVE STE 309",
            "address_2": "STE 309",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521918",
            "telephone_number": "215-668-1613",
            "fax_number": "215-857-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 BUSTLETON AVE STE 309",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521918",
            "telephone_number": "215-668-1613",
            "fax_number": "215-857-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLYSS AESTHETICS AND LASER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "215-253-1801"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.