Vencer Care, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

28RS00734800 Issued in NJ

Legal business name

VENCER CARE, LLC

Doing business as

Vencer Vital Care

Practice address

255 W Spring Valley Ave
Suite 201
Maywood, NJ 07607-1445

Phone

(201) 881-0773

Fax

(201) 881-0776

NPI assigned

Oct 10, 2013

Last updated

Apr 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Bahri

Title

President

Phone

(201) 881-0773

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Vencer Vital Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Vencer Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vencer Care, LLC

  dba Vencer Vital Care

  • Customized Equipment (DME)
  • Maywood, NJ
  • NPI 1598270852
  NPD tax ID

Locations

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1518394451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "SUITE 201",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "201-881-0773",
            "fax_number": "201-881-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "SUITE 201",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "201-881-0773",
            "fax_number": "201-881-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENCER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "BAHRI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-881-0773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00734800",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NJ",
            "license": "28RS00734800",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NJ",
            "license": "28RS00734800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463612",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vencer Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvu Van
• Vanguard ASC, LLC (Vanguard Surgical Center)
• Vanguard Physical Therapy
• Vanguard Surgical Center, LLC.
• Julio Eduardo Vega, MD
• Vencer Care, LLC (Vencer Vital Care)
• Karen Denisse Vera, PA-C
• Veton LLC (Desacare Medical Services)
• Ulrick Vieux Jr., D.O.
• Robert A Villegas, M.D.

• Durable Medical Equipment & Medical Supplies in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.