MEDICARE: VCARE URGENT CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207P00000X	Emergency Medicine Physician
2	207Q00000X	Family Medicine Physician
3	261QA1903X	Ambulatory Surgical Clinic/Center
4	261QM1300X	Multi-Specialty Clinic/Center
5	261QR0200X	Radiology Clinic/Center
6	291U00000X	Clinical Medical Laboratory
7	333300000X	Emergency Response System Companies
8	333600000X	Pharmacy
9	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1801563366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VCARE URGENT CARE LLC

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. MANGAIYAKKARASI SIVAKUMAR
Credential	:	MD
Telephone Number	:	888-460-1151

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	01/21/2022

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