- Practice location
- 466 Old Hook RD, Suite 9, Emerson, NJ 07630-1396
- Phone
- 201-261-1005
- Fax
- 201-261-4208
- Last updated
- December 2, 2016
Vivian K. Bethala, MD PA is a healthcare organization based in Emerson, NJ. Vivian K. Bethala, MD PA practices in Emerson, NJ. The NPI Number for Vivian K. Bethala, MD PA is 1568412799 and holds a License No. 25MA0371400 (NJ). The current practice location address for Vivian K. Bethala, MD PA is 466 Old Hook RD, Suite 9, Emerson, NJ 07630-1396 and can be reached out via phone at 201-261-1005 and via fax at 201-261-4208.
Provider Profile Details
- NPI Number
- 1568412799
- Provider Name
- Vivian K. Bethala, MD PA
- Provider Entity Type
- Organization
- Address
- 466 Old Hook RD, Suite 9, Emerson, NJ 07630-1396
- Phone Number
- 201-261-1005
- Fax Number
- 201-261-4208
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Vivian K Bethala, MD · President · 201-261-1005
- Provider Enumeration Date
- May 10, 2006
- Last Update Date
- December 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 466 Old Hook RD
Suite 9
Emerson, NJ 07630-1396 - City
- Emerson
- State
- New Jersey
- Zip
- 07630-1396
- Phone Number
- 201-261-1005
- Fax Number
- 201-261-4208
Provider Business Mailing Address Details
- Address
- 466 Old Hook RD
Suite 9
Emerson, NJ 07630-1396 - City
- Emerson
- State
- NJ
- Zip
- 07630-1396
- Phone Number
- 201-261-1005
- Fax Number
- 201-261-4208
License Information
- License Number
- 25MA0371400
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Emerson, NJ
View all Specialists in Emerson →Frequently Asked Questions
What is the NPI number of Vivian K. Bethala, MD PA?
The NPI number of Vivian K. Bethala, MD PA is 1568412799. It was assigned on May 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Vivian K. Bethala, MD PA?
Vivian K. Bethala, MD PA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA0371400.
Where does Vivian K. Bethala, MD PA practice?
The practice location is 466 Old Hook RD, Suite 9, Emerson, NJ 07630-1396. The office can be reached at 201-261-1005 (phone) or 201-261-4208 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568412799 directly on the NPPES registry website.