NPIMap

Organization Active NPI

Patriot Medical Wound Health PC

  • Medical Specialty Clinic/Center
  • New City, NY
National Provider Identifier
1174300941
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PATRIOT MEDICAL WOUND HEALTH PC
Practice address
286 S Main St
New City, NY 10956-3327
Phone
(914) 236-4121
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Samy Saker, MDNPI 1134413172
Title
Owner
Phone
(845) 362-8400

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

286 S Main St
New City, NY 10956-3327

Mailing address

96 Linwood PLZ # 142
Fort Lee, NJ 07024-3701
Phone (914) 236-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020001900 NY Part B Supplier - Clinic/Group Practice 4385090794 Receives reassigned benefits from 11 practitioners
Practice locations: Holmes, NY; Bronx, NY; White Plains, NY; Rye Brook, NY; Middletown, NY; Montgomery, NY

National Provider Directory

National Provider Directory

Locations

2817 Albany Post Rd
Montgomery, NY 12549
Phone (484) 680-1355

Practitioners & affiliated clinicians

Practitioners 11

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": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1174300941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LINWOOD PLZ # 142",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "914-236-4121",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563327",
            "telephone_number": "914-236-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT MEDICAL WOUND HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "SAKER",
        "authorized_official_first_name": "SAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-362-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.