NPIMap

Organization Active NPI

Jimenez Medical Wound Care PLLC

  • Multi-Specialty Clinic/Center
  • Southbury, CT
National Provider Identifier
1386528131
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
JIMENEZ MEDICAL WOUND CARE PLLC
Practice address
91 Shane Dr
Southbury, CT 06488-2678
Phone
(646) 593-1670
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Jean-Carlos JimenezNPI 1801154455
Title
Owner
Phone
(845) 818-5151

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

91 Shane Dr
Southbury, CT 06488-2678

Mailing address

91 Shane Dr
Southbury, CT 06488-2678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1386528131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SHANE DR",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SHANE DR",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882678",
            "telephone_number": "646-593-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMENEZ MEDICAL WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JEAN-CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-818-5151"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.