Active NPI
Total Care LLC
- Primary Care Clinic/Center
- Jersey City, NJ
National Provider Identifier
1114195815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 25MA07690500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1043295579
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.