Active NPI
Town Total Health Newark LLC
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1306057757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00657800
- Legal business name
- TOWN TOTAL HEALTH NEWARK LLC
- Practice address
- 393 Central Ave
Newark, NJ 07103-2842 - Phone
- (973) 757-1200
- NPI assigned
- May 25, 2007
- 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
- Mr. Vito Angelo Dituri, RPH
- Title
- Partner
- Phone
- (973) 757-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00657800 | NJ | Primary |
Addresses
Primary practice location
393 Central Ave
Newark, NJ 07103-2842
Mailing address
393 Central Ave
Newark, NJ 07103-2842
Phone (973) 757-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099716 | Medicaid | NJ |
Other names 1
- Town Total Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362355200000",
"number": "1306057757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "973-757-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "973-757-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN TOTAL HEALTH NEWARK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2013-03-04",
"status": "A",
"authorized_official_last_name": "DITURI",
"authorized_official_first_name": "VITO",
"authorized_official_middle_name": "ANGELO",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "973-757-1200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00657800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099716",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Town Total Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.