Organization Active NPI

Am Beauty Medical Wigs Corp.

  • Prosthetist
  • Philadelphia, PA
National Provider Identifier
1932075009
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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

Updated by the provider on Oct 15, 2025

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)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.