Organization Active NPI

Vcare Primary Care

  • Emergency Medicine Physician
  • Dayton, NJ
National Provider Identifier
1275200800
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
VCARE PRIMARY CARE
Practice address
485 Georges Rd Ste 114
Dayton, NJ 08810-2439
Phone
(888) 460-1151
NPI assigned
Aug 23, 2021
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Mangaiyarkkasi Sivakumar, MD
Title
Owner
Phone
(888) 460-1151

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Body Imaging Physician 2085B0100X NU
Emergency Care Clinic/Center 261QE0002X NU
Primary Care Clinic/Center 261QP2300X NU
Emergency Response System Companies 333300000X NU

Addresses

Primary practice location

485 Georges Rd Ste 114
Dayton, NJ 08810-2439

Mailing address

485 Georges Rd Ste 114
Dayton, NJ 08810-2439
Phone (888) 460-1151

Other practice location 1

485 Georges Rd Ste 114
Dayton, NJ 08810-2439
Phone (888) 460-1151

Other names 1

  • Vcare health system Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL self Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109000024 NJ Part B Supplier - Clinic/Group Practice 0941677660 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1275200800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 GEORGES RD STE 114",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088102439",
            "telephone_number": "888-460-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 GEORGES RD STE 114",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088102439",
            "telephone_number": "888-460-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Georges Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "NJ",
            "postal_code": "088102439",
            "country_code": "US",
            "telephone_number": "888-460-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VCARE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMAR",
        "authorized_official_first_name": "MANGAIYARKKASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-460-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "self",
            "affiliation": "N",
            "endpointDescription": "self",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "485 Georges Rd Ste 114",
            "city": "Dayton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088102439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vcare health system",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vcare health system",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.

Verify at the official NPI Registry.