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NPI Code Detail

MEDICARE: VIRTUALCARE MEDICAL GROUP OF NE PC

MEDICARE: VIRTUALCARE MEDICAL GROUP OF NE PC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2363LF0000XFamily Nurse Practitioner
3261QP2300XPrimary Care Clinic/Center
4261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1598453573
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRTUALCARE MEDICAL GROUP OF NE PC
Provider Business Mailing Address
First Line : 228 PARK AVE SOUTH, PMB 31583
Second Line :
City : NEW YORK
State : NY
Zip : 10003-1502
Country : US
Telephone Number : 844-310-0093
Fax Number :
Provider Business Practice Location Address
First Line : 1299 FARNAM ST STE 300
Second Line :
City : OMAHA
State : NE
Zip : 68102-1857
Country : US
Telephone Number : 844-301-0093
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : AIDEN FENG
Credential : MD
Telephone Number : 844-301-0093
Provider Enumeration Date : 04/27/2023
Last Update Date : 12/09/2025

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