CT REJUVENATION CENTRE – NPI #1538563507
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

CT REJUVENATION CENTRE is a surgeon located in GREENWICH, CT. NPPES has assigned the NPI number 1538563507 to CT REJUVENATION CENTRE on October 20, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CT REJUVENATION CENTRE” is a dba name, the actual legal business name for this organization is RADIANCE MEDSPA PLLC. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

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 CT REJUVENATION CENTRE below.

NPI Profile for
RADIANCE MEDSPA PLLC

NPI Number
1538563507
Enumeration Date

(more than 11 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
RADIANCE MEDSPA PLLC
Doing Business As (dba): CT REJUVENATION CENTRE
Primary location
195 FIELD POINT RD
FIRST FLOOR
GREENWICH, CT 06830-6441
Phone: (203) 717-1414 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOEL SINGER
PRESIDENT
Phone: (203) 717-1414
Updated
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (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.