Organization Active NPI

Wound Practitioners on Wheels

  • Primary Care Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1891345740
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
WOUND PRACTITIONERS ON WHEELS
Practice address
180 Talmadge Rd BLDG Suite710
Edison, NJ 08817-2860
Phone
(732) 800-7494
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Georgiet Afriyie, APNNPI 1609252287
Title
Chief Operating Officer
Phone
(732) 800-7494

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
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

180 Talmadge Rd BLDG Suite710
Edison, NJ 08817-2860

Mailing address

180 Talmadge Rd BLDG Suite710
Edison, NJ 08817-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205000521 NJ Part B Supplier - Clinic/Group Practice 3375976368 Receives reassigned benefits from 3 practitioners
Practice locations: Iselin, NJ

National Provider Directory

National Provider Directory

Locations

180 Talmadge Rd
Bldg 710
Edison, NJ 08817
Phone (732) 277-7287

180 Talmadge Rd
Ste 710
Edison, NJ 08817
Phone (732) 800-7494

Practitioners & affiliated clinicians

Practitioners 3

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": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1891345740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD BLDG SUITE710",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD BLDG SUITE710",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172860",
            "telephone_number": "732-800-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PRACTITIONERS ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "AFRIYIE",
        "authorized_official_first_name": "GEORGIET",
        "authorized_official_title_or_position": "CHIEF  OPERATING OFFICER",
        "authorized_official_telephone_number": "732-800-7494",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.