INTEGRATED WOUND CARE PENNSYLVANIA PLLC
NPI 1447722863
General Practice in Philadelphia, PA

Q: What is Integrated Wound Care Pennsylvania PLLC's specialty?

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

Active since December 24, 2018

4400 W GIRARD AVE, PHILADELPHIA, PA 19104(718) 705-6010 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2022, Dec 24, 2018 (2 updates tracked since 2018).

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About Integrated Wound Care Pennsylvania Pllc NPPES

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

INTEGRATED WOUND CARE PENNSYLVANIA PLLC (NPI 1447722863) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since December 2018. The organization lists Diane Lusa, President, as its authorized official.

NPPES Registry Identity

NPI1447722863

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameINTEGRATED WOUND CARE PENNSYLVANIA PLLC

Location Address4400 W GIRARD AVEPhiladelphia, PA 19104-1002

Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713 · (718) 705-6010

Phone(718) 705-6010

Organization SubpartNo

Authorized OfficialDiane LusaPresident · (718) 705-6010

Enumeration DateDecember 24, 2018

Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2022

✔ NPI 1447722863 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

4400 W GIRARD AVE, Philadelphia, PA 19104

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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 2

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

DELANCO HEALTHCARE BELMONT & PARKSIDE LP

Nursing Care

4400 W GIRARD AVE
PHILADELPHIA, PA 19104

Philadelphia County (215) 477-1170

CENTENNIAL HEALTHCARE, LLC

Skilled Nursing Facility

4400 W GIRARD AVE
PHILADELPHIA, PA 19104

Philadelphia County (215) 477-1170

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 Pennsylvania PLLC's NPI number?

The NPI number for Integrated Wound Care Pennsylvania PLLC is 1447722863. It was assigned to this organization in the NPPES registry on December 24, 2018.

Where is Integrated Wound Care Pennsylvania PLLC located?

Integrated Wound Care Pennsylvania PLLC is located at 4400 W Girard Ave, Philadelphia, PA 19104. The listed phone number is (718) 705-6010.

What is Integrated Wound Care Pennsylvania PLLC'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 Pennsylvania PLLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.