Active NPI
Apex Medical Oversight, PLLC
Doing business as United Wound Care Centers
- Plastic Surgery Physician
- Philadelphia, PA
National Provider Identifier
1003795139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- APEX MEDICAL OVERSIGHT, PLLC
- Doing business as
- United Wound Care Centers
- Practice address
- 2418 E York St
Philadelphia, PA 19125-3006 - Phone
- (302) 500-4412
- Fax
- (302) 444-8312
- NPI assigned
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Lacqua, MD
- Title
- Member
- Phone
- (917) 301-1699
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
2418 E York St
Philadelphia, PA 19125-3006
Mailing address
1614 N Bodine St
Philadelphia, PA 19122-3034
Phone (302) 500-4412
Other practice location 1
170 N Henderson Rd Ste 310
King Of Prussia, PA 19406-2155
Phone (302) 500-4412
Other names 1
- United Wound Care Centers
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1003795139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 N BODINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191223034",
"telephone_number": "302-500-4412",
"fax_number": "302-444-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 E YORK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253006",
"telephone_number": "302-500-4412",
"fax_number": "302-444-8312"
}
],
"practiceLocations": [
{
"address_1": "170 N Henderson Rd Ste 310",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "194062155",
"country_code": "US",
"telephone_number": "302-500-4412",
"fax_number": "302-444-8312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "APEX MEDICAL OVERSIGHT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "LACQUA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "917-301-1699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "United Wound Care Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.