Charity Geriatric and Wound Care Medical Center

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

CHARITY GERIATRIC AND WOUND CARE MEDICAL CENTER

Practice address

4099 Nuuuli
Pago Pago, AS 96799

Phone

(684) 733-0833

NPI assigned

Oct 1, 2021

Last updated

Oct 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Monita Prem Adip, MD

Title

Chief Medical Officer

Phone

(684) 699-3279

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1881366540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4099",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967994099",
            "telephone_number": "684-733-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 NUUULI",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-733-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITY GERIATRIC AND WOUND CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "ADIP",
        "authorized_official_first_name": "MONITA",
        "authorized_official_middle_name": "PREM",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "684-699-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saiasi Caginidaveta, MBBS
• Darius Carpitanos, PTRP
• Cristina Roble Castaneda, MD
• Priyashna Prishika Chand, BDS
• Sumeet Sudesh Chand, MBBS
• Labh Kumar Chaurasiya, MD
• Frangel Chipongian, MD
• Dexter Thomas Chute, MBBS
• Luisa Clemens, PHARMD
• Ma Ivy Clemente

• Geriatric Medicine (Family Medicine) Physician in Pago Pago, AS
• Providers in Pago Pago, AS by specialty
• Geriatric Medicine (Family Medicine) Physician in American Samoa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.