VSD Premier Services

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VSD PREMIER SERVICES

Practice address

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977

Phone

(201) 392-3100

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Valentina Kolker, PANPI 1033431960

Title

Owner

Phone

(646) 238-5757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Valentina Kolker, RPA-C

  • Surgical Physician Assistant
  • Montclair, NJ
  • NPI 1033431960
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1487475398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-11 MARSHALL RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104132",
            "telephone_number": "646-238-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-392-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSD PREMIER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "KOLKER",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-238-5757",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dima Vicital
• Virtual Care LLC
• Virtual Care Management LLC
• Visionary Anesthesia, LLC
• Visionary ASC NJ
• Hemal Vyas
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Kara Walka
• Inas Latif Shaker Wassef, MD

• Surgery Physician in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.