Provider Demographics
NPI:1922064757
Name:TOTAL CARDIOLOGY CARE, LLC
Entity Type:Organization
Organization Name:TOTAL CARDIOLOGY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:ABED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-216-9791
Mailing Address - Street 1:924 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3018
Mailing Address - Country:US
Mailing Address - Phone:201-604-1511
Mailing Address - Fax:201-604-1028
Practice Address - Street 1:120 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307
Practice Address - Country:US
Practice Address - Phone:201-216-9791
Practice Address - Fax:201-216-1362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8427208Medicaid
NJCH7049Medicare PIN
NJ045797Medicare PIN