MEDICARE: OASIS BEAUTY DEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1073455259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS BEAUTY DEN

Provider Business Mailing Address
First Line	:	35 MANCHESTER CT APT H
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-3217
Country	:	US
Telephone Number	:	833-660-7465
Fax Number	:	312-600-4447

Provider Business Practice Location Address
First Line	:	35 MANCHESTER CT APT H
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-3217
Country	:	US
Telephone Number	:	833-660-7465
Fax Number	:	312-600-4447

Authorized Official
Title or Position	:	OWNER
Name	:	CARLOSURA MEJIAS-VENT
Credential	:
Telephone Number	:	626-310-7465

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “OASIS BEAUTY DEN ” Practice Location

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