Active NPI
Vital Medical Care, LLC
- Internal Medicine Physician
- Moorestown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA06796000
- Legal business name
- VITAL MEDICAL CARE, LLC
- Practice address
- 212 W Route 38 Ste 540
Moorestown, NJ 08057-3246 - Phone
- (856) 787-0260
- Fax
- (856) 787-0262
- NPI assigned
- Jul 24, 2009
- Last updated
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nishith M Gami
- Title
- Physician
- Phone
- (856) 787-0260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06796000 | NJ | Primary |
Addresses
Primary practice location
212 W Route 38 Ste 540
Moorestown, NJ 08057-3246
Mailing address
203 Eclipse Dr
Bordentown, NJ 08505-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2009466 | Vital Medical Care, LLC | Certificate of waiver | Jul 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
55 Route 70 E
Ste 2
Marlton, NJ 08053
Phone (856) 396-0260
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.
-
- Internal Medicine Physician
- Moorestown, NJ
- NPI 1295786440
-
- Physical Therapist
- Mount Laurel, NJ
- NPI 1356359509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1598995441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 ECLIPSE DR",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085052255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W ROUTE 38 STE 540",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573246",
"telephone_number": "856-787-0260",
"fax_number": "856-787-0262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL MEDICAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-24",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A",
"authorized_official_last_name": "GAMI",
"authorized_official_first_name": "NISHITH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "856-787-0260"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06796000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.