INTEGRATED WOUND CARE NEW YORK MEDICAL PLLC
NPI 1639649643
General Practice in Tappan, NY
About Integrated Wound Care New York Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED WOUND CARE NEW YORK MEDICAL PLLC (NPI 1639649643) is a healthcare organization registered as a general practice in Tappan, New York and active in the NPI registry since December 2018. The organization lists Diane Lusas, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Wound Care New York Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Integrated Wound Care New York Medical PLLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 26Source: 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 Integrated Wound Care New York Medical PLLC's NPI number?
The NPI number for Integrated Wound Care New York Medical PLLC is 1639649643. It was assigned to this organization in the NPPES registry on December 3, 2018.
Where is Integrated Wound Care New York Medical PLLC located?
Integrated Wound Care New York Medical PLLC is located at 22 Liberty Rd, Tappan, NY 10983. The listed phone number is (732) 451-4318.
What is Integrated Wound Care New York Medical PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Integrated Wound Care New York Medical PLLC enrolled in Medicare?
Yes. Integrated Wound Care New York Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Wound Care New York Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 9 Medicare specialties reassign their Medicare billing to Integrated Wound Care New York Medical PLLC. 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. The largest specialties are Nurse Practitioner (9), General Practice (6) and General Surgery (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrated Wound Care New York Medical PLLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Integrated Wound Care New York Medical Pllc · NPI 1639649643
General Practice organization in Tappan, New York. Organization record, active in the CMS NPPES registry since December 3, 2018.
## Identity
- **NPI:** 1639649643 (Entity type: Organization)
- **Enumerated:** December 3, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Diane Lusas, MEMBER
## Practice location
- **Address:** 22 LIBERTY RD, Tappan, NY 10983-1815
- **Phone:** (732) 451-4318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), General Practice (6), General Surgery (4); [full list](https://npiprofile.com/npi/1639649643/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639649643) · Data from the CMS NPPES public registry.