Active NPI
Vida Care LLC
- Community/Behavioral Health Agency
- Fort Lee, NJ
National Provider Identifier
1750219929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- VIDA CARE LLC
- Practice address
- 2185 Lemoine Ave Ste 1B
Fort Lee, NJ 07024-6030 - Phone
- (201) 351-9430
- NPI assigned
- May 9, 2026
- 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
- David M Braverman
- Title
- Ceo
- Phone
- (201) 351-9430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2185 Lemoine Ave Ste 1B
Fort Lee, NJ 07024-6030
Mailing address
2185 Lemoine Ave Ste 1B
Fort Lee, NJ 07024-6030
Phone (201) 351-9430
National Provider Directory
National Provider DirectoryLocations
2185 Lemoine Ave
Ste 1B
Fort Lee, NJ 07024
Phone (201) 351-9430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778284800000",
"number": "1750219929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 LEMOINE AVE STE 1B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246030",
"telephone_number": "201-351-9430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 LEMOINE AVE STE 1B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246030",
"telephone_number": "201-351-9430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDA CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-09",
"last_updated": "2026-05-09",
"certification_date": "2026-05-09",
"status": "A",
"authorized_official_last_name": "BRAVERMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "201-351-9430"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Namra Vohra, PHARMD
- Iryna Volska, OTR
- Irina Volynsky, PHD
- Walgreen Co (Walgreens #19903)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.