Organization Active NPI

Total Medical Care Inc

  • Health Service Clinic/Center
  • Prospect Park, NJ
National Provider Identifier
1508022328
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
25MA07405000 Issued in NJ
Legal business name
TOTAL MEDICAL CARE INC
Practice address
204 Haledon Ave
Prospect Park, NJ 07508-2023
Phone
(973) 790-1074
Fax
(201) 215-9541
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Mr. Sabir Saleem
Title
President
Phone
(973) 790-1074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 25MA07405000 NJ Primary

Addresses

Primary practice location

204 Haledon Ave
Prospect Park, NJ 07508-2023

Mailing address

204 Haledon Ave
Prospect Park, NJ 07508-2023
Phone (973) 790-1074

Other identifiers 1

IdentifierTypeStateIssuer
0193046MedicaidNJ

Other names 1

  • A National Nonprofit Organization Other name

National Provider Directory

National Provider Directory

Locations

91 Main St
#1
Paterson, NJ 07505
Phone (973) 279-0020

Practitioners & affiliated clinicians

Practitioners 3

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": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1508022328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HALEDON AVE",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082023",
            "telephone_number": "973-790-1074",
            "fax_number": "201-215-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HALEDON AVE",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082023",
            "telephone_number": "973-790-1074",
            "fax_number": "201-215-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "SABIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-790-1074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "25MA07405000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193046",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A National Nonprofit Organization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prospect Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.