Active NPI
Total Medical 360 LLC
- Adult Health Nurse Practitioner
- Westbury, NY
National Provider Identifier
1780457697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- TOTAL MEDICAL 360 LLC
- Practice address
- 188 Post Ave Unit a
Westbury, NY 11590-3060 - Phone
- (516) 477-9935
- NPI assigned
- Nov 2, 2023
- 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
- Biju K Jose
- Title
- Owner
- Phone
- (516) 477-9935
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Registered Respiratory Therapist | 227900000X | |||
| Physician Assistant | 363A00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
188 Post Ave Unit a
Westbury, NY 11590-3060
Mailing address
188 Post Ave Unit a
Westbury, NY 11590-3060
National Provider Directory
National Provider DirectoryLocations
188 Post Ave
Unit A
Westbury, NY 11590
Phone (516) 477-9935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704499200000",
"number": "1780457697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 POST AVE UNIT A",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115903060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 POST AVE UNIT A",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115903060",
"telephone_number": "516-477-9935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL MEDICAL 360 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A",
"authorized_official_last_name": "JOSE",
"authorized_official_first_name": "BIJU",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-477-9935"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.