MEDICARE: VCARE PRIMARY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	2085B0100X	Body Imaging Physician
4	261QE0002X	Emergency Care Clinic/Center
5	261QP2300X	Primary Care Clinic/Center
6	333300000X	Emergency Response System Companies
7	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1275200800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VCARE PRIMARY CARE

Provider Business Mailing Address
First Line	:	485 GEORGES RD STE 114
Second Line	:
City	:	DAYTON
State	:	NJ
Zip	:	08810-2439
Country	:	US
Telephone Number	:	888-460-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	485 GEORGES RD STE 114
Second Line	:
City	:	DAYTON
State	:	NJ
Zip	:	08810-2439
Country	:	US
Telephone Number	:	888-460-1151
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MANGAIYARKKASI SIVAKUMAR
Credential	:	MD
Telephone Number	:	888-460-1151

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	06/30/2022

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Directions to “VCARE PRIMARY CARE ” Practice Location

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