Organization Active NPI

NP Advanced Wound Care LLC

  • Adult Health Nurse Practitioner
  • Phila, PA
National Provider Identifier
1962776716
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP011027 Issued in PA
Legal business name
NP ADVANCED WOUND CARE LLC
Practice address
1635 Croatan PL
Phila, PA 19145-5403
Phone
(215) 336-8617
Fax
(215) 334-5983
NPI assigned
Feb 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Mr. Luca R Cella, CRNP ANP-BC WOCN
Title
Owner
Phone
(215) 336-8617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X SP011027 PA Primary

Addresses

Primary practice location

1635 Croatan PL
Phila, PA 19145-5403

Mailing address

1635 Croatan PL
Phila, PA 19145-5403
Phone (215) 336-8617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1962776716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 CROATAN PL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191455403",
            "telephone_number": "215-336-8617",
            "fax_number": "215-334-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CROATAN PL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191455403",
            "telephone_number": "215-336-8617",
            "fax_number": "215-334-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP ADVANCED WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-25",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "CELLA",
        "authorized_official_first_name": "LUCA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-336-8617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP ANP-BC WOCN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP011027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.