Active NPI
Total Medical Care
- Primary Care Clinic/Center
- Prospect Park, NJ
National Provider Identifier
1902045966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 25MA06601600
- Legal business name
- TOTAL MEDICAL CARE
- Practice address
- 204 Haledon Ave
Prospect Park, NJ 07508-2023 - Phone
- (973) 790-1074
- Fax
- (973) 790-1929
- NPI assigned
- Feb 16, 2009
- 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
- Dr. Axat S Jani, M.D.
- Title
- Medical Director
- Phone
- (973) 790-1074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 25MA06601600 | 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
National Provider Directory
National Provider DirectoryLocations
204 Haledon Ave
Prospect Park, NJ 07508
Phone (973) 790-0070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234742400000",
"number": "1902045966",
"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": "973-790-1929"
},
{
"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": "973-790-1929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-16",
"last_updated": "2009-02-16",
"status": "A",
"authorized_official_last_name": "JANI",
"authorized_official_first_name": "AXAT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "973-790-1074",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": "25MA06601600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.