Provider Demographics
NPI:1235312778
Name:TOTAL CARE OF UNION CITY, LLC
Entity Type:Organization
Organization Name:TOTAL CARE OF UNION CITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENIGNO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-330-7575
Mailing Address - Street 1:PO BOX 593
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-0593
Mailing Address - Country:US
Mailing Address - Phone:201-330-7575
Mailing Address - Fax:201-330-9468
Practice Address - Street 1:415 39TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4817
Practice Address - Country:US
Practice Address - Phone:201-330-7575
Practice Address - Fax:201-330-9468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB059971002081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty