Active NPI
Vector Remote Care, LLC
- Physiological Laboratory
- Long Island City, NY
National Provider Identifier
1124678263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- VECTOR REMOTE CARE, LLC
- Practice address
- 2807 Jackson Ave FL 5
Long Island City, NY 11101-3459 - Phone
- (347) 308-6203
- NPI assigned
- Sep 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Hoffman, TECHNICIAN
- Title
- Ceo
- Phone
- (626) 460-3343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
2807 Jackson Ave FL 5
Long Island City, NY 11101-3459
Mailing address
Dept at 952655
Atlanta, GA 31192-2655
Phone (347) 308-6203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191022002244 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1153653241 | Practice locations: Long Island City, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Vector Remote Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- San Jose, CA
- NPI 1013735711
Locations
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Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Norfolk, VA
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-
- Gerontology Nurse Practitioner
- Mesa, AZ
- NPI 1447090287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1124678263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT AT 952655",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311922655",
"telephone_number": "347-308-6203",
"fax_number": "877-293-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 JACKSON AVE FL 5",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111013459",
"telephone_number": "347-308-6203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VECTOR REMOTE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-460-3343",
"authorized_official_credential": "TECHNICIAN"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.