Virtual Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VIRTUAL CARE LLC

Practice address

1265 Paterson Plank Rd FL 1
Secaucus, NJ 07094-3242

Phone

(973) 370-2860

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Kamalesh Shah, MDNPI 1891780912

Title

Owner

Phone

(973) 370-2860

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, DE2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Kamalesh R Shah, M.D.

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1891780912
  Medicare reassignment Authorized official
• Avaniben Patel, FNP-C

  • Family Nurse Practitioner
  • Wilmington, DE
  • NPI 1316403991
  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1649940099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE STE 210",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 PATERSON PLANK RD FL 1",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943242",
            "telephone_number": "973-370-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KAMALESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-370-2860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035793",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• VSD Premier Services
• Hemal Vyas

• Internal Medicine Physician in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.