DEJAVU AESTHETIC AND MEDICAL CENTER
NPI 1871487132
Family Medicine in Woodland Park, NJ

Active since June 03, 2025CLIA 31D2328547 · Waiver
1031 MCBRIDE AVE STE C203, WOODLAND PARK, NJ 07424(201) 565-5676 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2025, Jun 3, 2025 (2 updates tracked since 2025).

About Dejavu Aesthetic And Medical Center NPPES

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

DEJAVU AESTHETIC AND MEDICAL CENTER (NPI 1871487132) is a healthcare organization registered as a family medicine in Woodland Park, New Jersey and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Darine Androwis, Physician, as its authorized official.

NPPES Registry Identity

NPI1871487132
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEJAVU AESTHETIC AND MEDICAL CENTER
Location Address1031 MCBRIDE AVE STE C203Woodland Park, NJ 07424-2526
Mailing Address719 Rifle Camp RdWoodland Park, NJ 07424-3108 · (201) 565-5676
Organization SubpartNo
Authorized OfficialDarine AndrowisPhysician · (201) 565-5676
Enumeration DateJune 3, 2025
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
NPI 1871487132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1031 MCBRIDE AVE STE C203, Woodland Park, NJ 07424

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2328547

Dejavu Aesthetic And Medical Center · Woodland Park, NJ
Active · expires Aug 11, 2027
CLIA Number31D2328547
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorDarine Androwis
Laboratory Phone(201) 565-5676
Laboratory LocationDejavu Aesthetic And Medical Center1031 Mcbride Ave Suite C203, Woodland Park, NJ 07424
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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
1031 MCBRIDE AVE STE C203
WOODLAND PARK, NJ 07424

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 Dejavu Aesthetic And Medical Center's NPI number?

The NPI number for Dejavu Aesthetic And Medical Center is 1871487132. It was assigned to this organization in the NPPES registry on June 3, 2025.

Where is Dejavu Aesthetic And Medical Center located?

Dejavu Aesthetic And Medical Center is located at 1031 Mcbride Ave Ste C203, Woodland Park, NJ 07424. The listed phone number is (201) 565-5676.

What is Dejavu Aesthetic And Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dejavu Aesthetic And Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2328547) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dejavu Aesthetic And Medical Center was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.