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NPI Code Detail

MEDICARE: TOTAL KINGS MEDICAL CARE, P.C.

MEDICARE: TOTAL KINGS MEDICAL CARE, P.C.
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
1207RG0100XGastroenterology Physician
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1225053143
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL KINGS MEDICAL CARE, P.C.
Provider Business Mailing Address
First Line : PO BOX 270
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-0270
Country : US
Telephone Number : 631-264-2035
Fax Number : 631-264-1418
Provider Business Practice Location Address
First Line : 3019 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5111
Country : US
Telephone Number : 718-934-1800
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAY WEISSBLUTH
Credential : M.D.
Telephone Number : 718-934-1800
Provider Enumeration Date : 07/12/2006
Last Update Date : 09/11/2025

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Directions to “TOTAL KINGS MEDICAL CARE, P.C. ” Practice Location

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