LASTING IMPRESSION MEDICAL AESTHETICS, LLC – NPI #1912522889
Clinic/Center

LASTING IMPRESSION MEDICAL AESTHETICS, LLC is an AHC clinic located in FAIR LAWN, NJ. NPPES has assigned the NPI number 1912522889 to LASTING IMPRESSION MEDICAL AESTHETICS, LLC on June 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LASTING IMPRESSION MEDICAL AESTHETICS, LLC below.

NPI Profile for
LASTING IMPRESSION MEDICAL AESTHETICS, LLC

NPI Number
1912522889
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LASTING IMPRESSION MEDICAL AESTHETICS, LLC
Primary location
25-15 FAIR LAWN AVE LOWR LEVELR
FAIR LAWN, NJ 07410-3434
Phone: (908) 432-3228 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROEL GALOPE
OWNER
Phone: (973) 672-2455
Updated
Certification Date
Jun 16, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LASTING IMPRESSION MEDICAL AESTHETICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0110361
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.