Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mrc West Medspa LLC

Clinic/Center in West Caldwell, NJ · enumerated 2022 · authorized official Kelly Distefano, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447905245

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Mrc West Medspa LLC

Practice address 761 Bloomfield Ave, West Caldwell, NJ, 07006

Phone (862) 284-3747

Fax (973) 860-1602

Enumeration date Feb 21, 2022

Last updated in NPPES Feb 21, 2022

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kelly Distefano

Title Owner

Phone (862) 216-9732

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-02-21. Verify at npiregistry.cms.hhs.gov.

Where is Mrc West Medspa LLC located?

The practice location on file with NPPES is in West Caldwell, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-21.