Organization Active NPI

Town Total Health Newark LLC

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1306057757
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00657800 Issued in NJ
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

Updated by the provider on Mar 4, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0099716MedicaidNJ

Other names 1

  • Town Total Health Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.