Organization Active NPI

Total Health Medical Services, P.C.

  • Internal Medicine Physician
  • Woodhaven, NY
National Provider Identifier
1023063484
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218325 Issued in NY
Legal business name
TOTAL HEALTH MEDICAL SERVICES, P.C.
Practice address
9511 Jamaica Ave
Woodhaven, NY 11421-2224
Phone
(718) 846-7500
Fax
(718) 846-7507
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Afshin Gholomhassani, M.D.
Title
Doctor
Phone
(718) 634-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 218325 NY Primary

Addresses

Primary practice location

9511 Jamaica Ave
Woodhaven, NY 11421-2224

Mailing address

3778 Illona LN
Oceanside, NY 11572-5973
Phone (718) 634-7000

Other identifiers 1

IdentifierTypeStateIssuer
02045687MedicaidNY

National Provider Directory

National Provider Directory

Locations

8709 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 205-9300

40 E Merrick Rd
Ste 102
Valley Stream, NY 11580
Phone (516) 256-0077

9511 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 846-7500

8714 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 296-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1023063484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3778 ILLONA LN",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725973",
            "telephone_number": "718-634-7000",
            "fax_number": "718-634-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212224",
            "telephone_number": "718-846-7500",
            "fax_number": "718-846-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GHOLOMHASSANI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-634-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02045687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.