ICON ANTI-AGING AND AESTHETICS PLLC
NPI 1134977911
Clinic/Center - Health Service in Birmingham, MI

Active since May 08, 2024
555 S OLD WOODWARD AVE STE 700, BIRMINGHAM, MI 48009(248) 821-4332 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icon Anti-aging And Aesthetics Pllc NPPES

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

ICON ANTI-AGING AND AESTHETICS PLLC (NPI 1134977911) is a healthcare organization registered as a health service in Birmingham, Michigan and active in the NPI registry since May 2024. The organization lists Alexander Zayid, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1134977911
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameICON ANTI-AGING AND AESTHETICS PLLC
Location Address555 S OLD WOODWARD AVE STE 700Birmingham, MI 48009-6607
Mailing Address555 S Old Woodward Ave Ste 700Birmingham, MI 48009-6607 · (248) 436-4002
Organization SubpartNo
Authorized OfficialAlexander ZayidMedical Director · (248) 436-4002
Enumeration DateMay 8, 2024
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
NPI 1134977911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
555 S OLD WOODWARD AVE STE 700, Birmingham, MI 48009

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
555 S OLD WOODWARD AVE STE 700
BIRMINGHAM, MI 48009

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 Icon Anti-Aging And Aesthetics PLLC's NPI number?

The NPI number for Icon Anti-Aging And Aesthetics PLLC is 1134977911. It was assigned to this organization in the NPPES registry on May 8, 2024.

Where is Icon Anti-Aging And Aesthetics PLLC located?

Icon Anti-Aging And Aesthetics PLLC is located at 555 S Old Woodward Ave Ste 700, Birmingham, MI 48009. The listed phone number is (248) 821-4332.

What is Icon Anti-Aging And Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Icon Anti-Aging And Aesthetics PLLC was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.