Provider Demographics
NPI:1467334755
Name:WOUND COMPANY PROVIDER GROUP NJ PC
Entity type:Organization
Organization Name:WOUND COMPANY PROVIDER GROUP NJ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHSENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-706-4461
Mailing Address - Street 1:2240 DREW AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-3646
Mailing Address - Country:US
Mailing Address - Phone:859-396-3819
Mailing Address - Fax:
Practice Address - Street 1:377 VALLEY RD. UNIT 2649
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013
Practice Address - Country:US
Practice Address - Phone:859-396-3819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No163WC2100XNursing Service ProvidersRegistered NurseContinence CareGroup - Multi-Specialty
No163WE0900XNursing Service ProvidersRegistered NurseEnterostomal TherapyGroup - Multi-Specialty