Provider Demographics
NPI:1568103174
Name:TRUCARE MANAGEMENT LLC
Entity Type:Organization
Organization Name:TRUCARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:USMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-522-3102
Mailing Address - Street 1:1111 PAULISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3600
Mailing Address - Country:US
Mailing Address - Phone:201-522-3102
Mailing Address - Fax:
Practice Address - Street 1:1111 PAULISON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-3600
Practice Address - Country:US
Practice Address - Phone:201-522-3102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization