Icare Mobile Wound Care VA PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ICARE MOBILE WOUND CARE VA PLLC

Practice address

1150 NW 72ND Ave Ste PH-1
Miami, FL 33126-1936

Phone

(305) 701-9901

Fax

(305) 701-9902

NPI assigned

May 23, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Ivan Islamaj, P.A.NPI 1174924963

Title

Ceo

Phone

(855) 247-3627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Islamaj, PA-C

  • Medical Physician Assistant
  • Miami, FL
  • NPI 1174924963

  DC

  Medicare reassignment NPD Authorized official
• Shad M Brown, PA-C

  • Physician Assistant
  • Debary, FL
  • NPI 1326387531

  DC

  Medicare reassignment NPD
• Nicholas Suite

  • Neurology Physician
  • Miami, FL
  • NPI 1447330048

  DC

  Medicare reassignment NPD
• Elizabeth Arginteanu, M.S, SLP-CF

  • Speech-Language Pathologist
  • Hyattsville, MD
  • NPI 1710408307
  NPD
• Ann Kristine Aquino Tan, OTR/L

  • Occupational Therapist
  • Adelphi, MD
  • NPI 1619308376
  NPD
• Prita Bhardwaj, MD

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1790092922
  NPD (past)
• Samuel Lwanyaga, AGPCNP

  • Nurse Practitioner
  • Gainesville, VA
  • NPI 1154181022
  NPD (past)
• Eugenia Y Obeng, NP

  • Family Nurse Practitioner
  • Purcellville, VA
  • NPI 1609641471
  NPD (past)
• Simone Perry

  • Family Nurse Practitioner
  • Herndon, VA
  • NPI 1801771290
  NPD (past)
• Evelyn Butsome Sallah-Koomson, APRN FNP-C

  • Family Medicine Physician
  • Herndon, VA
  • NPI 1245053966

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1932992856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE PH-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-701-9901",
            "fax_number": "305-701-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE PH-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-701-9901",
            "fax_number": "305-701-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE MOBILE WOUND CARE VA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "ISLAMAJ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-247-3627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Icare Mobile Health, LLC
• Icare Mobile Medicine LLC
• Eduardo Icaza, MD
• Iceland Medical Equipment Corp
• Katherine Icke, M.S., C.G.C
• Icon Home Health Services Inc
• Icon Med Tech Corporation

• Geriatric Medicine (Internal Medicine) Physician in Miami, FL
• Providers in Miami, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.