Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Home Wound Healing & Wellness LLC

Organization Family Medicine Physician · NPI 1265365050

Advanced Home Wound Healing & Wellness LLC is a Family Medicine Physician in Staten Island, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

357 Swinnerton St
Staten Island, NY 10307-1644
Phone: (609) 442-6803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1265365050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dimyana Ata — Owner · (973) 489-9615
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address357 Swinnerton St, Staten Island, NY 10307-1644

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