Total Patient Care Llc | |
459 Jack Martin Blvd Suite 1 Brick NJ 08724-7724 | |
(732) 785-1000 | |
(732) 785-1222 |
Full Name | Total Patient Care Llc |
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Speciality | Family Medicine |
Location | 459 Jack Martin Blvd, Brick, New Jersey |
Authorized Official Name and Position | James Aloysius Clarke (CO OWNER) |
Authorized Official Contact | 7327851000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Patient Care Llc 459 Jack Martin Blvd Suite 1 Brick NJ 08724-7724 Ph: (732) 785-1000 | Total Patient Care Llc 459 Jack Martin Blvd Suite 1 Brick NJ 08724-7724 Ph: (732) 785-1000 |
NPI Number | 1477544146 |
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Provider Enumeration Date | 11/02/2005 |
Last Update Date | 05/19/2010 |
Medicare PECOS PAC ID | 4981699451 |
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Medicare Enrollment ID | O20040415000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477544146 | NPI | - | NPPES |
8234205 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ninfa A Alcasid |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740471580 PECOS PAC ID: 7719070416 Enrollment ID: I20070915000211 |
Provider Name | Susan E Boggs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225029903 PECOS PAC ID: 7719003854 Enrollment ID: I20100927001074 |
Provider Name | Asim H Gilani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598756173 PECOS PAC ID: 0244427508 Enrollment ID: I20101213000476 |
Provider Name | Lorena D Alonzo-chafart |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912998592 PECOS PAC ID: 8820090897 Enrollment ID: I20110120000266 |
Provider Name | Yasmen A Srour |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467895706 PECOS PAC ID: 8022252469 Enrollment ID: I20190415000128 |
Provider Name | Shannon M Macrina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871258343 PECOS PAC ID: 7214321181 Enrollment ID: I20220218002475 |
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