MEDICARE: TOTAL SPECTRUM HEALTH PC

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	2084P0804X	Child & Adolescent Psychiatry Physician	25MB07388800	NJ
2	2084P0800X	Psychiatry Physician	25MB07388800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821341439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SPECTRUM HEALTH PC

Provider Business Mailing Address
First Line	:	171 WOODPORT RD
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-2633
Country	:	US
Telephone Number	:	973-726-3001
Fax Number	:	973-726-3002

Provider Business Practice Location Address
First Line	:	171 WOODPORT RD
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-2633
Country	:	US
Telephone Number	:	973-726-3001
Fax Number	:	973-726-3002

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JENNY A BLANCHARD
Credential	:	D.O.
Telephone Number	:	973-726-3001

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	11/02/2012

Similar Medicare Providers

1790826766 — MS. CHRISTINE WELZER LCSW
Practice Location Address:

171 WOODPORT RD , 2ND FLOOR
SPARTA, NJ
07871-2633

Practice Phone: 201-317-3768
Practice Fax: 973-764-3845

1487860649 — DR. JENNIFER LYNN LAMPHIER D.M.D
Practice Location Address:

171 WOODPORT RD
SPARTA, NJ
07871-2633

Practice Phone: 973-729-7979
Practice Fax: 973-729-0946

1467784215 — RES-CARE NEW JERSEY, INC.
Practice Location Address:

171 WOODPORT RD
SPARTA, NJ
07871-2633

Practice Phone: 502-394-2100
Practice Fax:

1023775459 — MATTHEW B GOODFELLOW CDT
Practice Location Address:

2633 11 MILE RD NW
SPARTA, MI
49345-9751

Practice Phone: 616-773-8339
Practice Fax:

1619805843 — BENJAMIN SHAPIRO
Practice Location Address:

10 MAIN ST
SPARTA, NJ
07871-1900

Practice Phone: 973-826-2330
Practice Fax:

1700880341 — DR. STEPHEN ALAN KOWALSKY OD
Practice Location Address:

21 LAFAYETTE RD , SUITE C
SPARTA, NJ
07871-3575

Practice Phone: 973-729-7755
Practice Fax: 973-729-0677

Directions to “TOTAL SPECTRUM HEALTH PC ” 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.