MEDICARE: TOTAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	25MA07690500	NJ

General Provider Information

NPI Number	:	1114195815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL CARE LLC

Provider Business Mailing Address
First Line	:	328 RIDGE ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-1311
Country	:	US
Telephone Number	:	973-632-4579
Fax Number	:	201-653-7960

Provider Business Practice Location Address
First Line	:	201 SAINT PAULS AVE
Second Line	:	SUITE 1D
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-3724
Country	:	US
Telephone Number	:	201-656-7400
Fax Number	:	201-653-7960

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILFREDO TOMAS CORREA CRUZ
Credential	:	MD
Telephone Number	:	973-632-4579

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	02/15/2008

Similar Medicare Providers

1043295579 — MERLE CORREA CRUZ-ENCARNACION M.D.
Practice Location Address:

201 SAINT PAULS AVE , SUITE 1D
JERSEY CITY, NJ
07306-3724

Practice Phone: 201-653-7533
Practice Fax: 201-653-7960

1376894006 — KENNETH BROWN APN
Practice Location Address:

201 SAINT PAULS AVE , 17J
JERSEY CITY, NJ
07306-3724

Practice Phone: 201-469-6373
Practice Fax:

1760209415 — JASPER WALKER SR.
Practice Location Address:

374 COMMUNIPAW AVE
JERSEY CITY, NJ
07304-3724

Practice Phone: 201-433-1888
Practice Fax:

1205801776 — DR. LYNN ANN CARLO O D
Practice Location Address:

1909 MAIN ST
MILES CITY, MT
59301-3724

Practice Phone: 406-234-7426
Practice Fax: 406-234-7005

1427023522 — DR. ROBERT DEAN LUNDE O D
Practice Location Address:

1909 MAIN ST
MILES CITY, MT
59301-3724

Practice Phone: 406-234-7426
Practice Fax: 406-234-7005

1629043732 — ALBERT JOHN SPARR O D
Practice Location Address:

1909 MAIN ST
MILES CITY, MT
59301-3724

Practice Phone: 406-234-7426
Practice Fax: 406-234-7005

Directions to “TOTAL CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.