DEJAVU AESTHETIC AND MEDICAL CENTER
NPI 1871487132
Family Medicine in Woodland Park, NJ
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dejavu Aesthetic And Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dejavu Aesthetic And Medical Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJFrequently 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.
Is Dejavu Aesthetic And Medical Center enrolled in Medicare?
Yes. Dejavu Aesthetic And Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dejavu Aesthetic And Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dejavu Aesthetic And Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 15 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.
# Dejavu Aesthetic And Medical Center · NPI 1871487132
Family Medicine organization in Woodland Park, New Jersey. Organization record, active in the CMS NPPES registry since June 3, 2025.
## Identity
- **NPI:** 1871487132 (Entity type: Organization)
- **Enumerated:** June 3, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Darine Androwis, PHYSICIAN
## Practice location
- **Address:** 1031 MCBRIDE AVE STE C203, Woodland Park, NJ 07424-2526
- **Phone:** (201) 565-5676
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871487132) · Data from the CMS NPPES public registry.