NPIMap

Organization Active NPI

Total Support Medical Group Inc.

  • Internal Medicine Physician
  • Irvington, NJ
National Provider Identifier
1467510776
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TOTAL SUPPORT MEDICAL GROUP INC.
Practice address
34 Union Ave
Irvington, NJ 07111-3219
Phone
(973) 373-0903
Fax
(973) 373-1087
NPI assigned
Dec 6, 2006
Last updated
May 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Chikezie Onyenso, MDNPI 1578605812
Title
MD
Phone
(973) 373-0903

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
Internal Medicine Physician 207R00000X NU Primary
Pediatric Adolescent Medicine Physician 2080A0000X NU

Addresses

Primary practice location

34 Union Ave
Irvington, NJ 07111-3219

Mailing address

34 Union Ave
Irvington, NJ 07111-3219
Phone (973) 373-0903

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1467510776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 UNION AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113219",
            "telephone_number": "973-373-0903",
            "fax_number": "973-373-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 UNION AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113219",
            "telephone_number": "973-373-0903",
            "fax_number": "973-373-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SUPPORT MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "ONYENSO",
        "authorized_official_first_name": "CHIKEZIE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-373-0903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.