Organization Active NPI

Cytoheal Wound Solutions PLLC

  • Family Medicine Physician
  • Pembroke, NH
National Provider Identifier
1104669456
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CYTOHEAL WOUND SOLUTIONS PLLC
Practice address
385 Pembroke St
Pembroke, NH 03275-3235
Phone
(603) 824-5009
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Robban Ariel Sica, MDNPI 1144360629
Title
Owner
Phone
(203) 799-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

385 Pembroke St
Pembroke, NH 03275-3235

Mailing address

37 Lakewood Dr
Trumbull, CT 06611-2446
Phone (203) 605-1452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250430002801 MA Part B Supplier - Clinic/Group Practice 9234655416 Receives reassigned benefits from 2 practitioners
Practice locations: Newton, MA
O20250430002914 NH Part B Supplier - Clinic/Group Practice 9234655416 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke, NH
O20250430003169 CT Part B Supplier - Clinic/Group Practice 9234655416 Receives reassigned benefits from 2 practitioners
Practice locations: Redding, CT

National Provider Directory

National Provider Directory

Locations

401 Gilford Ave
Unit B2
Gilford, NH 03249

385 Pembroke St
Pembroke, NH 03275
Phone (203) 605-1452

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1104669456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LAKEWOOD DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112446",
            "telephone_number": "203-605-1452",
            "fax_number": "885-921-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 PEMBROKE ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032753235",
            "telephone_number": "603-824-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTOHEAL WOUND SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "SICA",
        "authorized_official_first_name": "ROBBAN",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-799-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.