Organization Active NPI

Virtual Care Management LLC

  • Internal Medicine Physician
  • Secaucus, NJ
National Provider Identifier
1063906121
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRTUAL CARE MANAGEMENT LLC
Practice address
1265 Paterson Plank Rd FL 1
Secaucus, NJ 07094-3242
Phone
(973) 370-2860
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kamalesh Shah, MD
Title
Owner
Phone
(201) 803-3397

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1265 Paterson Plank Rd FL 1
Secaucus, NJ 07094-3242

Mailing address

100 Walnut Ave Ste 210
Clark, NJ 07066-1247

National Provider Directory

National Provider Directory

Locations

1265 Paterson Plank Rd
Fl 1
Secaucus, NJ 07094
Phone (201) 216-3055

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1063906121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE STE 210",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 PATERSON PLANK RD FL 1",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943242",
            "telephone_number": "973-370-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KAMALESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-803-3397",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.