Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lasting Impression Medical Aesthetics, LLC

Organization Radiology Clinic/Center · NPI 1912522889

Lasting Impression Medical Aesthetics, LLC is a Radiology Clinic/Center in Fair Lawn, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

25-15 Fair Lawn Ave Lowr Levelr
Fair Lawn, NJ 07410-3434
Phone: (908) 432-3228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X

Record details

NPI number1912522889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roel Galope — Owner · (973) 672-2455
Other names Lasting Impression Medical
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020
Mailing address25-15 Fair Lawn Ave Lowr Levelr, Fair Lawn, NJ 07410-3434

Other providers in Fair Lawn