Active NPI
Am Beauty Medical Wigs Corp.
- Prosthetist
- Philadelphia, PA
National Provider Identifier
1932075009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- AM BEAUTY MEDICAL WIGS CORP.
- Practice address
- 1901 74TH Ave
Philadelphia, PA 19138-2220 - Phone
- (215) 359-9620
- NPI assigned
- Oct 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Markiea Leak
- Title
- Cranial Prosthesis Specialist
- Phone
- (267) 690-6529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1901 74TH Ave
Philadelphia, PA 19138-2220
Mailing address
1901 74TH Ave
Philadelphia, PA 19138-2220
Phone (215) 359-9620
National Provider Directory
National Provider DirectoryLocations
1901 74th Ave
Philadelphia, PA 19138
Phone (215) 359-9620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1932075009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 74TH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191382220",
"telephone_number": "215-359-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 74TH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191382220",
"telephone_number": "215-359-9620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AM BEAUTY MEDICAL WIGS CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "LEAK",
"authorized_official_first_name": "MARKIEA",
"authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
"authorized_official_telephone_number": "267-690-6529"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.