INTEGRATED WOUND CARE NEW YORK MEDICAL PLLC
NPI 1639649643
General Practice in Tappan, NY

Q: 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.

Active since December 03, 2018

22 LIBERTY RD, TAPPAN, NY 10983(732) 451-4318 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2020, Jun 1, 2020, Dec 3, 2018 (3 updates tracked since 2018).

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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

NPI1639649643

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameINTEGRATED WOUND CARE NEW YORK MEDICAL PLLC

Location Address22 LIBERTY RDTappan, NY 10983-1815

Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713

Phone(732) 451-4318

Organization SubpartNo

Authorized OfficialDiane LusasMember · (732) 451-4318

Enumeration DateDecember 3, 2018

Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1639649643 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

22 LIBERTY RD, Tappan, NY 10983

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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

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.

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 12 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.