Organization Active NPI

Total Care Medical Group Inc

  • Internal Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1053801662
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TOTAL CARE MEDICAL GROUP INC
Practice address
445 White Horse Ave Ste 202
Hamilton, NJ 08610-1410
Phone
(609) 281-2000
Fax
(609) 281-2002
NPI assigned
May 18, 2018
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Dr. Abdul-Hady Kheder, MDNPI 1487631909
Title
Owner
Phone
(609) 281-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

445 White Horse Ave Ste 202
Hamilton, NJ 08610-1410

Mailing address

445 White Horse Ave Ste 202
Hamilton, NJ 08610-1410
Phone (160) 958-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230814000650 NJ Part B Supplier - Clinic/Group Practice 7012379753 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

445 Whitehorse Ave
Ste 202
Trenton, NJ 08610
Phone (609) 281-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1053801662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WHITE HORSE AVE STE 202",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101410",
            "telephone_number": "160-958-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WHITE HORSE AVE STE 202",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101410",
            "telephone_number": "609-281-2000",
            "fax_number": "609-281-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "KHEDER",
        "authorized_official_first_name": "ABDUL-HADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-281-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.