Renew Wound Care of Connecticut PLLC
NPI 1992492854ActiveOrganization· Internal Medicine· Bristol, CT
Internal Medicine in Bristol, Connecticut, registered in NPPES in April 2023. The authorized official on file is Joseph Wiesenfeld, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992492854 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2023 |
| Last updated in NPPES | Jun 27, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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