Active NPI
American Wound Care Medicine PLLC
- Adult Medicine Physician
- Hauppauge, NY
National Provider Identifier
1942074653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- AMERICAN WOUND CARE MEDICINE PLLC
- Practice address
- 888 Veterans Memorial Hwy Ste 220
Hauppauge, NY 11788-2940 - Phone
- (251) 901-3011
- Fax
- (251) 901-3011
- NPI assigned
- Nov 13, 2023
- 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
- Saba Azizi-Ghannad, DO
- Title
- Owner
- Phone
- (251) 901-3011
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
888 Veterans Memorial Hwy Ste 220
Hauppauge, NY 11788-2940
Mailing address
PO Box 8209
Vienna, VA 22183-2058
Phone (251) 901-3011
Other practice location 1
3514 Mermaid Ave
Brooklyn, NY 11224-1508
Phone (251) 901-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Elmont, NY
- NPI 1740820455
-
- Family Nurse Practitioner
- Woodbury, NY
- NPI 1114254695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1942074653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8209",
"city": "VIENNA",
"state": "VA",
"postal_code": "221832058",
"telephone_number": "251-901-3011",
"fax_number": "251-901-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 VETERANS MEMORIAL HWY STE 220",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882940",
"telephone_number": "251-901-3011",
"fax_number": "251-901-3011"
}
],
"practiceLocations": [
{
"address_1": "3514 Mermaid Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112241508",
"country_code": "US",
"telephone_number": "251-901-3011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMERICAN WOUND CARE MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "AZIZI-GHANNAD",
"authorized_official_first_name": "SABA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-901-3011",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.