Encore Wound Care Illinois LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ENCORE WOUND CARE ILLINOIS LLC

Practice address

731 Bay Ave
Somers Point, NJ 08244-2378

Phone

(440) 652-8748

Fax

(440) 582-3171

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Tracy Wimberg

Title

VP Billing Operations

Phone

(480) 652-8748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1831079680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 BAY AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442378",
            "telephone_number": "440-652-8748",
            "fax_number": "440-582-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 BAY AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442378",
            "telephone_number": "440-652-8748",
            "fax_number": "440-582-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE WOUND CARE ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "WIMBERG",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VP BILLING OPERATIONS",
        "authorized_official_telephone_number": "480-652-8748"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.