NPIMap

Organization Active NPI

East Coast Wound Care P C

  • Specialist
  • Yonkers, NY
National Provider Identifier
1275582181
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EAST COAST WOUND CARE P C
Practice address
976 McLean Ave
Suite 387
Yonkers, NY 10704-4105
Phone
(914) 237-6797
Fax
(914) 237-6790
NPI assigned
May 8, 2006
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Craig Bunker
Title
Director of Operations
Phone
(914) 237-6797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

976 McLean Ave
Suite 387
Yonkers, NY 10704-4105

Mailing address

976 McLean Ave
Suite 387
Yonkers, NY 10704-4105
Phone (914) 237-6797

Other identifiers 4

IdentifierTypeStateIssuer
0360569772OtherILMEDICAID
277265500MedicaidFL
0050431OtherNJMEDICAID
200216370AMedicaidOK

National Provider Directory

National Provider Directory

Locations

976 McLean Ave
#7070
Yonkers, NY 10704

976 McLean Ave
Ste 38
Yonkers, NY 10704

8177 S Harvard Ave
Tulsa, OK 74137
Phone (254) 724-0224

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1275582181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 MCLEAN AVE",
            "address_2": "SUITE 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044105",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 MCLEAN AVE",
            "address_2": "SUITE 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044105",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST WOUND CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "914-237-6797"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0360569772",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277265500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0050431",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200216370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.