Healthcare Provider Details

I. General information

NPI: 1528192515
Provider Name (Legal Business Name): VXL MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8812 QUEENS BLVD STE 1
ELMHURST NY
11373-4489
US

IV. Provider business mailing address

34 PATTON BLVD
NEW HYDE PARK NY
11040-1731
US

V. Phone/Fax

Practice location:
  • Phone: 718-280-9680
  • Fax: 718-899-3300
Mailing address:
  • Phone: 917-826-0886
  • Fax: 718-899-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASLAM JIVANI
Title or Position: PRESIDENT
Credential: MD
Phone: 718-280-9680