Healthcare Provider Details

I. General information

NPI: 1659007193
Provider Name (Legal Business Name): TOTAL CARE MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2608 ROUTE 112
MEDFORD NY
11763-2551
US

IV. Provider business mailing address

811 OLD COUNTRY RD
PLAINVIEW NY
11803-4905
US

V. Phone/Fax

Practice location:
  • Phone: 631-475-9000
  • Fax:
Mailing address:
  • Phone: 516-934-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: RAJAN VOHORA
Title or Position: CEO
Credential: RPH
Phone: 516-934-0095