NPIMap

Organization Active NPI

Wound Healing Associates PC

  • Internal Medicine Physician
  • Hawthorne, NJ
National Provider Identifier
1932585445
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB05411900 Issued in NJ
Legal business name
WOUND HEALING ASSOCIATES PC
Practice address
290 Lafayette Ave
Hawthorne, NJ 07506-1961
Phone
(973) 427-9200
Fax
(973) 427-9201
NPI assigned
Aug 6, 2015
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Dr. Sekuleo Gathers, MDNPI 1598842098
Title
Owner
Phone
(973) 427-9200

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
Internal Medicine Physician 207R00000X 25MB05411900 NJ Primary

Addresses

Primary practice location

290 Lafayette Ave
Hawthorne, NJ 07506-1961

Mailing address

290 Lafayette Ave
Hawthorne, NJ 07506-1961
Phone (973) 427-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150915003096 NJ Part B Supplier - Clinic/Group Practice 2668789116 Receives reassigned benefits from 31 practitioners
Practice locations: Perth Amboy, NJ; Whippany, NJ; Westwood, NJ; West Hanover, NJ; Wayne, NJ; Vauxhall, NJ; Tenafly, NJ; Teaneck, NJ…
O20221109000948 PA Part B Supplier - Clinic/Group Practice 2668789116 Receives reassigned benefits from 1 practitioner
Practice locations: Warminster, PA

National Provider Directory

National Provider Directory

Locations

85 Harreton Rd
Allendale, NJ 07401
Phone (201) 335-1118

800 River Rd
#One
New Milford, NJ 07646
Phone (201) 967-1700

200 Mazdabrook Rd
#One
Parsippany, NJ 07054

133 County Rd
Tenafly, NJ 07670
Phone (201) 567-7800

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1932585445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061961",
            "telephone_number": "973-427-9200",
            "fax_number": "973-427-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061961",
            "telephone_number": "973-427-9200",
            "fax_number": "973-427-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND HEALING ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "GATHERS",
        "authorized_official_first_name": "SEKULEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-427-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB05411900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.