TOTAL MEDICAL PC NPI 1811006083

NPI Information

NPI: 1811006083
Provider Name: TOTAL MEDICAL PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4405 BROADWAY
NEW YORK, NY
ZIP 10040
Phone: (212) 740-2020
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TOTAL MEDICAL PC is a family medicine in New York, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TOTAL MEDICAL PC NPI is 1811006083. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4405 BROADWAY
NEW YORK, NY
ZIP 10040-014
Phone: (212) 740-2020

The provider's authorized official is Mihail Medvedovsky .
The authorized official title is President and has the following contact phone number (212) 740-2020.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		180598	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W3Z922	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE GROUP NUMBER
2	6001110001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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