IMMEDICENTER TOTOWA


Address: 500 Union Blvd, Totowa, NJ 07512-2579
Phone: 9737900090

IMMEDICENTER TOTOWA (NPI# 1174629943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174629943
Entity Type Organization
Organization Name IMMEDICENTER TOTOWA
Practice Address 500 Union Blvd
Totowa
NJ 07512-2579
Practice Telephone 9737900090
Practice Fax Number 9737906070
Mailing Telephone 9737900090
Mailing Fax Number 9737906070
Enumeration Date 2006-09-16
Last Update Date 2009-03-23
Authorized Official Name MRS. MARIA C SQUIRLOCK (ADMINISTRATOR)
Authorized Official Telephone 9737785566
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ RAILROAD MEDICARE CG1322 01

Office Location

Street Address 500 UNION BLVD
City TOTOWA
State NJ
Zip Code 07512-2579

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336481381 Elma M Carboo Physician Assistant 500 Union Blvd, Totowa, NJ 07512-2579 2013-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396265682 Joseph Choi Student in an Organized Health Care Education/Training Program 136 Independence Trail, Totowa, NJ 07512 2017-06-27
1508228537 Psycho-educational Associates Community/Behavioral Health 999 Riverview Dr., Suite 201, Totowa, NJ 07512 2016-03-29
1013381086 De La Torre Chiropractic Center, LLC Chiropractor 159 Union Blvd, Unit B, Totowa, NJ 07512 2015-11-13
1396123527 Pratiksha Pandit Chesney Physical Therapist 10 Crews St., Totowa, NJ 07512 2015-05-07
1356735666 Ne Health Management LLC Clinic/Center 195 Us Hwy 46 West Suite 4, Totowa, NJ 07512 2015-03-25
1477989218 Medical Nutrition of Nj, LLC Nutritionist 137 Union Blvd, Totowa, NJ 07512 2013-09-25
1245503648 Biologictx LLC Pharmacy 40d Commerce Way, Totowa, NJ 07512 2012-02-15
1982987293 Jorge De La Torre Jr. Chiropractor 442 Union Blvd, Store Front, Totowa, NJ 07512 2011-09-22
1851699540 Leilani Irisari Toomey Physical Therapist 140 Sheperds Ln#1, Totowa, NJ 07512 2011-03-04
1972803526 Maria E Tapia Social Worker 555 Preakness Ave., Totowa, NJ 07512 2010-10-29
Find all providers in zip 07512

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518480912 Carenow LLC Family Medicine 825 Riverview Dr, Totowa, NJ 07512-1119 2017-07-18
1952515546 Mervet Asfour Family Medicine 650 Union Blvd Unit 16, Totowa, NJ 07512 2007-05-10
1629451034 Puja Patel Family Medicine 650 Union Blvd Unit 16, Totowa, NJ 07512 2015-07-02
1821362344 Irene Wong Family Medicine 650 Union Blvd Unit 16, Totowa, NJ 07512 2012-03-01
1356384341 Roman Chrucky Family Medicine 169 Minnisink Rd, Totowa, NJ 07512-1803 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285234609 Universal Management Group Inc. Family Medicine 611 Albert Pl, Ridgewood, NJ 07450-5308 2020-10-26
1962009381 Savannah Haririe Family Medicine 9 N Dorado Dr, Morristown, NJ 07960 2020-10-08
1023615168 Well Health Medical Practice Family Medicine 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 2020-10-01
1538776380 Reusik Family Medicine 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 2020-09-25
1265048359 Seungyeon Lee Family Medicine 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 2020-09-23
1558976670 Nyc Regenerative Medicine Inc. Family Medicine 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 2020-09-15
1831700715 Tree of Life Integrative Family Medicine Family Medicine 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 2020-08-13
1972127629 Alysha Marengo Family Medicine 326 Pine St, Pompton Lakes, NJ 07442-1617 2020-05-28
1790308583 Iz Medical LLC Family Medicine 250 Moonachie Rd, Moonachie, NJ 07074-1378 2020-05-27
1629691241 Wayne R Schneider,m.d.,llc Family Medicine 56 Tuckahoe Rd, Marmora, NJ 08223-1206 2020-05-19
Find all providers with the same taxonomy

Competitor

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City TOTOWA
Zip Code 07512

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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