Organization Active NPI

Apex Medical Oversight, PLLC

Doing business as United Wound Care Centers

  • Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1003795139
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.