Active NPI
East Coast Wound Care, P.C.
- Specialist
- Yonkers, NY
National Provider Identifier
1346561768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
- Jun 21, 2010
- Last updated
- Jan 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Spero J Theodorou, MD
- Title
- Surgical Director
- Phone
- (914) 237-6797
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- New York, NY
- NPI 1669444972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296432000000",
"number": "1346561768",
"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": "2010-06-21",
"last_updated": "2011-01-31",
"status": "A",
"authorized_official_last_name": "THEODOROU",
"authorized_official_first_name": "SPERO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SURGICAL DIRECTOR",
"authorized_official_telephone_number": "914-237-6797",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.