NPIMap

Organization Active NPI

Wound Healing of Essex, L.L.C.

  • Surgery Physician
  • South Orange, NJ
National Provider Identifier
1720424344
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WOUND HEALING OF ESSEX, L.L.C.
Practice address
151 Brentwood Dr
South Orange, NJ 07079-1132
Phone
(973) 274-1240
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Jacques Georges Losman, M.D.NPI 1063552016
Title
Officer
Phone
(973) 274-1240

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

151 Brentwood Dr
South Orange, NJ 07079-1132

Mailing address

151 Brentwood Dr
South Orange, NJ 07079-1132
Phone (973) 274-1240

Other identifiers 1

IdentifierTypeStateIssuer
3710301MedicaidNJ

National Provider Directory

National Provider Directory

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": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1720424344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BRENTWOOD DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791132",
            "telephone_number": "973-274-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BRENTWOOD DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791132",
            "telephone_number": "973-274-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND HEALING OF ESSEX, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "LOSMAN",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "GEORGES",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "973-274-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.