Provider Demographics
NPI:1508022328
Name:TOTAL MEDICAL CARE INC
Entity Type:Organization
Organization Name:TOTAL MEDICAL CARE INC
Other - Org Name:A NATIONAL NONPROFIT ORGANIZATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SABIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-790-1074
Mailing Address - Street 1:204 HALEDON AVE
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2023
Mailing Address - Country:US
Mailing Address - Phone:973-790-1074
Mailing Address - Fax:201-215-9541
Practice Address - Street 1:204 HALEDON AVE
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:NJ
Practice Address - Zip Code:07508-2023
Practice Address - Country:US
Practice Address - Phone:973-790-1074
Practice Address - Fax:201-215-9541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07405000261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0193046Medicaid