| Vcare Primary Care | |
|
485 Georges Rd Ste 114 Dayton NJ 08810-2439 | |
| (888) 460-1151 | |
| Not Available |
| Full Name | Vcare Primary Care |
|---|---|
| Speciality | Emergency Medicine |
| Location | 485 Georges Rd Ste 114, Dayton, New Jersey |
| Authorized Official Name and Position | Mangaiyarkkasi Sivakumar (OWNER) |
| Authorized Official Contact | 8884601151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcare Primary Care 485 Georges Rd Ste 114 Dayton NJ 08810-2439 Ph: (888) 460-1151 | Vcare Primary Care 485 Georges Rd Ste 114 Dayton NJ 08810-2439 Ph: (888) 460-1151 |
| NPI Number | 1275200800 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 0941677660 |
|---|---|
| Medicare Enrollment ID | O20221109000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275200800 | NPI | - | NPPES |
| Provider Name | Prathibha Potharlanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295761690 PECOS PAC ID: 4587633862 Enrollment ID: I20041004000017 |
| Provider Name | Simon D Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093792764 PECOS PAC ID: 1557310224 Enrollment ID: I20050120000574 |
| Provider Name | Stephen J Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043362080 PECOS PAC ID: 4183751019 Enrollment ID: I20100423000467 |
| Provider Name | Randi Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093364648 PECOS PAC ID: 3870929532 Enrollment ID: I20200129000742 |
| Provider Name | Mangaiyarkkarasi Sivakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942725049 PECOS PAC ID: 6103239298 Enrollment ID: I20231027001329 |
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