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MRC WEST MEDSPA LLC
NPI 1447905245
Clinic/Center in West Caldwell, NJ

Active since February 21, 2022
761 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006(862) 284-3747(973) 860-1602 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrc West Medspa Llc NPPES

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

MRC WEST MEDSPA LLC (NPI 1447905245) is a healthcare organization registered as a clinic/center in West Caldwell, New Jersey and active in the NPI registry since February 2022. The organization lists Kelly Distefano, Owner, as its authorized official.

NPPES Registry Identity

NPI1447905245
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMRC WEST MEDSPA LLC
Location Address761 BLOOMFIELD AVEWest Caldwell, NJ 07006-6701
Mailing Address761 Bloomfield AveWest Caldwell, NJ 07006-6701 · (862) 284-3747 · Fax (973) 860-1602
Phone(862) 284-3747
Fax(973) 860-1602
Organization SubpartNo
Authorized OfficialKelly DistefanoOwner · (862) 216-9732
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1447905245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
761 BLOOMFIELD AVE, West Caldwell, NJ 07006
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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 Mrc West Medspa LLC's NPI number?

The NPI number for Mrc West Medspa LLC is 1447905245. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is Mrc West Medspa LLC located?

Mrc West Medspa LLC is located at 761 Bloomfield Ave, West Caldwell, NJ 07006. The listed phone number is (862) 284-3747.

What is Mrc West Medspa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mrc West Medspa LLC was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.