Organization Active NPI

Winchester Wound Care Specialists PLLC

  • Internal Medicine Physician
  • Medford, MA
National Provider Identifier
1043714876
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WINCHESTER WOUND CARE SPECIALISTS PLLC
Practice address
75 Riverside Ave Ste 4
Medford, MA 02155-4600
Phone
(781) 756-7095
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammed Jaleel
Title
M.D.
Phone
(978) 655-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

75 Riverside Ave Ste 4
Medford, MA 02155-4600

Mailing address

290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429

Other identifiers 1

IdentifierTypeStateIssuer
219219OtherMASTATE LICENCE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1043714876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LITTLETON RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RIVERSIDE AVE STE 4",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554600",
            "telephone_number": "781-756-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER WOUND CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "JALEEL",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "978-655-3303"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "219219",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.