Virtual Care Medical Associate Ny PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

VIRTUAL CARE MEDICAL ASSOCIATE NY PC

Practice address

841 E Fayette St
Syracuse, NY 13210-1521

Phone

(866) 219-8595

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Brian Pavlovitz

Title

Sole Shareholder

Phone

(866) 219-8595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1467163964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101521",
            "telephone_number": "866-219-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL CARE MEDICAL ASSOCIATE NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "PAVLOVITZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "866-219-8595"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Vinciquerra, LCSW
• Simbrianna Vines
• Emily Viola, LMSW
• Isaac Robert Virag
• Quentin Todd Virden
• Michelle Viruet, CRNA
• David Viscome, MPT
• Nicole Marie Visconti
• Stephanie Visconti, LCSW
• Unnati Vishwakarma, M.D.

• Pediatrics Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.