Organization Active NPI

Vitalcare Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Kendall Park, NJ
National Provider Identifier
1235064395
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITALCARE MEDICAL EQUIPMENT LLC
Practice address
24 Fordham CT
Kendall Park, NJ 08824-1903
Phone
(210) 642-2103
NPI assigned
Jun 17, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Tahir Siddiqui
Title
Manager
Phone
(210) 642-2103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

24 Fordham CT
Kendall Park, NJ 08824-1903

Mailing address

24 Fordham CT
Kendall Park, NJ 08824-1903
Phone (210) 642-2103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1235064395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FORDHAM CT",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241903",
            "telephone_number": "210-642-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FORDHAM CT",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241903",
            "telephone_number": "210-642-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-642-2103"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.