Provider Demographics
NPI:1053801662
Name:TOTAL CARE MEDICAL GROUP INC
Entity type:Organization
Organization Name:TOTAL CARE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDUL-HADY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-281-2000
Mailing Address - Street 1:445 WHITE HORSE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1410
Mailing Address - Country:US
Mailing Address - Phone:160-958-5112
Mailing Address - Fax:
Practice Address - Street 1:445 WHITE HORSE AVE STE 202
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1410
Practice Address - Country:US
Practice Address - Phone:609-281-2000
Practice Address - Fax:609-281-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty