Provider Demographics
NPI:1477544146
Name:TOTAL PATIENT CARE LLC
Entity Type:Organization
Organization Name:TOTAL PATIENT CARE LLC
Other - Org Name:JAMES A CLARKE MD LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALOYSIUS
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-785-1000
Mailing Address - Street 1:459 JACK MARTIN BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-7724
Mailing Address - Country:US
Mailing Address - Phone:732-785-1000
Mailing Address - Fax:732-785-1222
Practice Address - Street 1:459 JACK MARTIN BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7724
Practice Address - Country:US
Practice Address - Phone:732-785-1000
Practice Address - Fax:732-785-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8234205Medicaid
NJCJ4183Medicare PIN
NJ8234205Medicaid