Organization Active NPI

Total Care Family Practice PC

  • Specialist
  • Bronx, NY
National Provider Identifier
1508947763
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
211252 Issued in NY
Legal business name
TOTAL CARE FAMILY PRACTICE PC
Doing business as
Emancia P Neil
Practice address
1571 Sheridan Ave
Suite 4B
Bronx, NY 10457-8546
Phone
(718) 466-0430
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Emancia Neil, MDNPI 1891998225
Title
Owner
Phone
(718) 466-0430

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 211252 NY Primary

Addresses

Primary practice location

1571 Sheridan Ave
Suite 4B
Bronx, NY 10457-8546

Mailing address

1571 Sheridan Ave
Suite 4B
Bronx, NY 10457-8546
Phone (718) 466-0430

Other names 1

  • Emancia P Neil Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140806000035 NY Part B Supplier - Clinic/Group Practice 9436376076 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

1571 Sheridan Ave
Apt 4B
Bronx, NY 10457
Phone (718) 466-0430

Practitioners & affiliated clinicians

Practitioners 1

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1508947763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 SHERIDAN AVE",
            "address_2": "SUITE 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578546",
            "telephone_number": "718-466-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 SHERIDAN AVE",
            "address_2": "SUITE 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578546",
            "telephone_number": "718-466-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "EMANCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-466-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "211252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emancia P Neil",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.