Organization Active NPI

VCS Medical Associates Corp

  • Prosthetic/Orthotic Supplier
  • Port St Lucie, FL
National Provider Identifier
1144686171
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
VCS MEDICAL ASSOCIATES CORP
Practice address
6979 Hancock Dr
Port St Lucie, FL 34952-8207
Phone
(844) 201-9009
Fax
(844) 656-1444
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Mr. Suresh SukhrajNPI 1801252820
Title
Ceo/Owner
Phone
(772) 812-4475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

6979 Hancock Dr
Port St Lucie, FL 34952-8207

Mailing address

6979 Hancock Dr
Port St Lucie, FL 34952-8207
Phone (844) 201-9009

National Provider Directory

National Provider Directory

Locations

6979 Hancock Dr
Port St Lucie, FL 34952
Phone (844) 201-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1144686171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 HANCOCK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528207",
            "telephone_number": "844-201-9009",
            "fax_number": "844-656-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6979 HANCOCK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528207",
            "telephone_number": "844-201-9009",
            "fax_number": "844-656-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCS MEDICAL ASSOCIATES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "SUKHRAJ",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "772-812-4475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.