LASTING IMPRESSION MEDICAL AESTHETICS, LLC
NPI 1912522889
Clinic/Center - Radiology in Fair Lawn, NJ
About Lasting Impression Medical Aesthetics, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LASTING IMPRESSION MEDICAL AESTHETICS, LLC (NPI 1912522889), doing business as Lasting Impression Medical, is a healthcare organization registered as a radiology in Fair Lawn, New Jersey and active in the NPI registry since June 2020. The organization lists Roel Galope, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 Lasting Impression Medical Aesthetics, LLC's NPI number?
The NPI number for Lasting Impression Medical Aesthetics, LLC is 1912522889. It was assigned to this organization in the NPPES registry on June 16, 2020. The provider is doing business as Lasting Impression Medical.
Where is Lasting Impression Medical Aesthetics, LLC located?
Lasting Impression Medical Aesthetics, LLC is located at 25-15 Fair Lawn Ave Lowr Levelr, Fair Lawn, NJ 07410. The listed phone number is (908) 432-3228.
What is Lasting Impression Medical Aesthetics, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
When was this NPI record last updated?
The NPPES record for Lasting Impression Medical Aesthetics, LLC was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lasting Impression Medical Aesthetics, Llc · NPI 1912522889
Radiology organization in Fair Lawn, New Jersey. Organization record, active in the CMS NPPES registry since June 16, 2020.
## Identity
- **NPI:** 1912522889 (Entity type: Organization)
- **Enumerated:** June 16, 2020
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Also known as:** Lasting Impression Medical (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Roel Galope, OWNER
## Practice location
- **Address:** 25-15 FAIR LAWN AVE LOWR LEVELR, Fair Lawn, NJ 07410-3434
- **Phone:** (908) 432-3228
## Record status
- **NPPES last updated:** June 16, 2020
- **Other identifiers:** Medicaid 0110361 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1912522889) · Data from the CMS NPPES public registry.