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INTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC
NPI 1154963049
General Practice in Superior, WI

Active since October 11, 2019
1800 NEW YORK AVE, SUPERIOR, WI 54880(201) 870-1194 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Integrated Wound Care Management Wisconsin Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC (NPI 1154963049) is a healthcare organization registered as a general practice in Superior, Wisconsin and active in the NPI registry since October 2019. The organization lists Diane Lusas, Member, as its authorized official.

NPPES Registry Identity

NPI1154963049
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC
Location Address1800 NEW YORK AVESuperior, WI 54880-2008
Mailing Address492c Cedar Ln Ste 513Teaneck, NJ 07666-1713
Phone(201) 870-1194
Organization SubpartNo
Authorized OfficialDiane LusasMember · (732) 451-4318
Enumeration DateOctober 11, 2019
✔ NPI 1154963049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1800 NEW YORK AVE, Superior, WI 54880
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY LULICH
Physical Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
SUPERIOR WI MANAGEMENT, LLC
Skilled Nursing Facility
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
DR. BOBBI MARIE-ANN HUOTARI DPT
Physical Therapist
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
MRS. CHRISTINA MARIE LEUZZO OTR/L
Occupational Therapist
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
SUSAN NOWAK PTA
Physical Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
EASTERN PODIATRY PLLC
Podiatrist
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (718) 972-5000
DEBRA HEDIN COTA
Occupational Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
SANDRA TOLLERS PTA
Physical Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Wound Care Management Wisconsin LLC's NPI number?

The NPI number for Integrated Wound Care Management Wisconsin LLC is 1154963049. It was assigned to this organization in the NPPES registry on October 11, 2019.

Where is Integrated Wound Care Management Wisconsin LLC located?

Integrated Wound Care Management Wisconsin LLC is located at 1800 New York Ave, Superior, WI 54880. The listed phone number is (201) 870-1194.

What is Integrated Wound Care Management Wisconsin LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Integrated Wound Care Management Wisconsin LLC was last updated on October 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.