Nyota Advanced Wound Care
NPI 1699655316ActiveOrganization· Clinic/Center· Braintree, MA
Clinic/Center in Braintree, Massachusetts, registered in NPPES in September 2025. The authorized official on file is Nadege Tan, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699655316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2025 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
Other Clinic/Center providers in Braintree
- 1447916739
- 1831829878
- 1790202554