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WOUND CARE MEDICINE PC
NPI 1629794656
Internal Medicine in Hawthorne, NJ

Active since October 12, 2022
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506(973) 427-9200 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2024, Oct 12, 2022 (2 updates tracked since 2022).

About Wound Care Medicine Pc NPPES

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

WOUND CARE MEDICINE PC (NPI 1629794656) is a healthcare organization registered as an internal medicine in Hawthorne, New Jersey and active in the NPI registry since October 2022. The organization lists Sekuleo Gathers, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1629794656
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWOUND CARE MEDICINE PC
Location Address290 LAFAYETTE AVEHawthorne, NJ 07506-1961
Mailing Address290 Lafayette AveHawthorne, NJ 07506-1961 · (973) 427-9200
Phone(973) 427-9200
Organization SubpartNo
Authorized OfficialSekuleo GathersProvider/owner · (973) 427-9200
Enumeration DateOctober 12, 2022
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1629794656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
290 LAFAYETTE AVE, Hawthorne, NJ 07506
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wound Care Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wound Care Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Lisa Cannon, MD
Internal Medicine
NPI 1073562773
501 N RTE 17
Paramus, NJ 07652
(551) 218-3790
✔ PECOS✔ Accepts Medicare4.3 mi
Sekuleo Gathers, MD
Emergency Medicine
NPI 1598842098
350 5TH AVE 59TH FLOOR NEW YORK PHYSICIAN PLLC
New York, NY 10118
(888) 970-3777
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wound Care Medicine PC's NPI number?

The NPI number for Wound Care Medicine PC is 1629794656. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is Wound Care Medicine PC located?

Wound Care Medicine PC is located at 290 Lafayette Ave, Hawthorne, NJ 07506. The listed phone number is (973) 427-9200.

What is Wound Care Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wound Care Medicine PC enrolled in Medicare?

Yes. Wound Care Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wound Care Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wound Care Medicine PC, in Emergency Medicine and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wound Care Medicine PC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.