Integrated Wound Care New York Medical Pllc - Medicare Primary Care in Tappan, NY

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Integrated Wound Care New York Medical Pllc is a medicare enrolled primary clinic (General Practice) in Tappan, New York. The current practice location for Integrated Wound Care New York Medical Pllc is 22 Liberty Rd, Tappan, New York. For appointments, you can reach them via phone at (732) 451-4318. The mailing address for Integrated Wound Care New York Medical Pllc is 492c Cedar Ln Ste 514, Teaneck, New Jersey and phone number is () -.

Integrated Wound Care New York Medical Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639649643. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (732) 451-4318.

Contact Information

Integrated Wound Care New York Medical Pllc
22 Liberty Rd
Tappan
NY 10983-1815
(732) 451-4318
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameIntegrated Wound Care New York Medical Pllc
SpecialityGeneral Practice
Location22 Liberty Rd, Tappan, New York
Authorized Official Name and PositionDiane Lusas (MEMBER)
Authorized Official Contact7324514318
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Integrated Wound Care New York Medical Pllc
492c Cedar Ln Ste 514
Teaneck
NJ 07666-1713

Ph: () -		Integrated Wound Care New York Medical Pllc
22 Liberty Rd
Tappan
NY 10983-1815

Ph: (732) 451-4318

NPI Details:

NPI Number1639649643
Provider Enumeration Date12/03/2018
Last Update Date07/23/2025

Medicare PECOS Information:

Medicare PECOS PAC ID4486086790
Medicare Enrollment IDO20191107000208

Medical Identifiers

Medical identifiers for Integrated Wound Care New York Medical Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639649643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Integrated Wound Care New York Medical Pllc acts as a billing entity for following providers:
Provider NameLisa Makrides
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1508861014
PECOS PAC ID: 3375432826
Enrollment ID: I20040312000436
Provider NameMichael J Rothstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275502593
PECOS PAC ID: 5193786465
Enrollment ID: I20041020000601
Provider NamePatrick T Murphy
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1255301784
PECOS PAC ID: 3375544216
Enrollment ID: I20070120000055
Provider NameRaheel Shafi
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1477759397
PECOS PAC ID: 3870646359
Enrollment ID: I20090924000435
Provider NameLisa M Holmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336451756
PECOS PAC ID: 7810184843
Enrollment ID: I20101203000003
Provider NameSharon Dombrowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336222629
PECOS PAC ID: 1850578758
Enrollment ID: I20120126000810
Provider NameJoshua Hourizadeh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932410024
PECOS PAC ID: 0042441990
Enrollment ID: I20140318001918
Provider NameAyodele O Atolagbe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255686085
PECOS PAC ID: 7315240298
Enrollment ID: I20160311001227
Provider NameYu Sun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558702480
PECOS PAC ID: 3678851441
Enrollment ID: I20161028001774
Provider NameDiane Lusas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730475658
PECOS PAC ID: 9032430640
Enrollment ID: I20161108001492
Provider NameJean Jacques Mbabuike
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447520408
PECOS PAC ID: 2769762111
Enrollment ID: I20161202000210
Provider NameJeromy Patterson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770877953
PECOS PAC ID: 0941514574
Enrollment ID: I20171117000529
Provider NameEllis Enabosi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1669866158
PECOS PAC ID: 3274890272
Enrollment ID: I20171129002536
Provider NameKimberly R Bickel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891037016
PECOS PAC ID: 4183863772
Enrollment ID: I20190603001364
Provider NameScott Herman
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1396770145
PECOS PAC ID: 9739220781
Enrollment ID: I20200116000822
Provider NameStefanie A Mcgowan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326485954
PECOS PAC ID: 2062737158
Enrollment ID: I20220125000710
Provider NameJennifer A Knox
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659513687
PECOS PAC ID: 9234526039
Enrollment ID: I20220426001677
Provider NameStephanie Ann Blakey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093441974
PECOS PAC ID: 1153707203
Enrollment ID: I20220928000131
Provider NameObioma Onah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013363951
PECOS PAC ID: 6608244181
Enrollment ID: I20221115002448
Provider NameJennifer Malone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992979975
PECOS PAC ID: 9537499843
Enrollment ID: I20231024003769
Provider NameCatherine Sinnott
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1447409438
PECOS PAC ID: 6800029612
Enrollment ID: I20231212000165
Provider NameBehrad Ziapour
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1952939191
PECOS PAC ID: 4183061534
Enrollment ID: I20240321002258
Provider NameFrantz Dorestant
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1073395968
PECOS PAC ID: 7416396700
Enrollment ID: I20240419000706
Provider NameShareen Ismail
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1417158130
PECOS PAC ID: 7416126933
Enrollment ID: I20240423003314
Provider NameJamie Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790293777
PECOS PAC ID: 0749542827
Enrollment ID: I20241121001686
Provider NameLuke Edwards
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831693613
PECOS PAC ID: 7214349752
Enrollment ID: I20250303002611
Provider NameDanielle Nikezic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639982937
PECOS PAC ID: 2567983430
Enrollment ID: I20250307000881

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.