Organization Active NPI

Total Care LLC

  • Primary Care Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1114195815
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA07690500 Issued in NJ
Legal business name
TOTAL CARE LLC
Practice address
201 Saint Pauls Ave
Suite 1D
Jersey City, NJ 07306-3724
Phone
(201) 656-7400
Fax
(201) 653-7960
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Wilfredo Tomas Correa Cruz, MD
Title
Owner
Phone
(973) 632-4579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA07690500 NJ Primary

Addresses

Primary practice location

201 Saint Pauls Ave
Suite 1D
Jersey City, NJ 07306-3724

Mailing address

328 Ridge St
Newark, NJ 07104-1311
Phone (973) 632-4579

National Provider Directory

National Provider Directory

Locations

201 Saint Pauls Ave
Ste 1D
Jersey City, NJ 07306
Phone (201) 653-7533

Practitioners & affiliated clinicians

Practitioners 1

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": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1114195815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 RIDGE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041311",
            "telephone_number": "973-632-4579",
            "fax_number": "201-653-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT PAULS AVE",
            "address_2": "SUITE 1D",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063724",
            "telephone_number": "201-656-7400",
            "fax_number": "201-653-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "WILFREDO TOMAS",
        "authorized_official_middle_name": "CORREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-632-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07690500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.