HEALTHY SKIN AESTHETICS & SPA LLC
NPI 1104640168
Nurse Practitioner - Family in Passaic, NJ

Active since November 14, 2024
458 LAFAYETTE AVE, PASSAIC, NJ 07055(551) 232-9448(973) 246-3872 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthy Skin Aesthetics & Spa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHY SKIN AESTHETICS & SPA LLC (NPI 1104640168) is a healthcare organization registered as a family in Passaic, New Jersey and active in the NPI registry since November 2024. The organization lists Dennys D Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1104640168
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTHY SKIN AESTHETICS & SPA LLC
Location Address458 LAFAYETTE AVEPassaic, NJ 07055-2832
Mailing Address458 Lafayette AvePassaic, NJ 07055-2832 · (551) 232-9448 · Fax (973) 246-3872
Fax(973) 246-3872
Organization SubpartNo
Authorized OfficialDennys D RodriguezOwner · (551) 232-9448
Enumeration DateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
NPI 1104640168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
458 LAFAYETTE AVE, Passaic, NJ 07055

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Skin Aesthetics & Spa LLC's NPI number?

The NPI number for Healthy Skin Aesthetics & Spa LLC is 1104640168. It was assigned to this organization in the NPPES registry on November 14, 2024.

Where is Healthy Skin Aesthetics & Spa LLC located?

Healthy Skin Aesthetics & Spa LLC is located at 458 Lafayette Ave, Passaic, NJ 07055. The listed phone number is (551) 232-9448.

What is Healthy Skin Aesthetics & Spa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Healthy Skin Aesthetics & Spa LLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.