Organization Active NPI

Medical Wound Care Ny PC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1730910050
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL WOUND CARE NY PC
Practice address
90 Broad St FL 2
New York, NY 10004-3313
Phone
(479) 685-8837
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Joel Jones, DO
Title
Owner & Medical Directror
Phone
(479) 685-8837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

90 Broad St FL 2
New York, NY 10004-3313

Mailing address

90 Broad St FL 2
New York, NY 10004-3313
Phone (479) 685-8837

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1730910050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BROAD ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043313",
            "telephone_number": "479-685-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROAD ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043313",
            "telephone_number": "479-685-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WOUND CARE NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER & MEDICAL DIRECTROR",
        "authorized_official_telephone_number": "479-685-8837",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.