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

Prodigy Aesthetics

Organization Primary Care Nurse Practitioner · NPI 1437856648

Prodigy Aesthetics is a Primary Care Nurse Practitioner in Paterson, New Jersey. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

680 Broadway Ste 205
Paterson, NJ 07514-1527
Phone: (973) 790-0123
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1437856648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Cedeno — Owner · (973) 221-5527
Other names Prodigy Aesthetics And Primary Care
NPI enumeratedFebruary 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address680 Broadway Ste 205, Paterson, NJ 07514-1527

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