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VIVIAN K. BETHALA, MD PA
NPI 1568412799
Specialist in Emerson, NJ

Active since May 10, 2006
466 OLD HOOK RD, SUITE 9, EMERSON, NJ 07630(201) 261-1005(201) 261-4208 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivian K. Bethala, Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN K. BETHALA, MD PA (NPI 1568412799) is a healthcare organization registered as a specialist in Emerson, New Jersey and active in the NPI registry since May 2006. The organization lists Vivian K Bethala, President, as its authorized official.

NPPES Registry Identity

NPI1568412799
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVIVIAN K. BETHALA, MD PA
Location Address466 OLD HOOK RD, SUITE 9Emerson, NJ 07630-1396
Mailing Address466 Old Hook Rd, Suite 9Emerson, NJ 07630-1396 · (201) 261-1005 · Fax (201) 261-4208
Phone(201) 261-1005
Fax(201) 261-4208
Organization SubpartNo
Authorized OfficialVivian K BethalaPresident · (201) 261-1005
Enumeration DateMay 10, 2006
Last NPPES UpdateDecember 2, 2016
✔ NPI 1568412799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA0371400
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
466 OLD HOOK RD, Emerson, NJ 07630
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Other Identifiers 3

Medicare UPINC56423NJ
Medicare ID-Type Unspecified025511NJ · Medicare Provider Number
Medicaid4906403NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HOLLY CULLEN M.D.
Internal Medicine (Gastroenterology)
466 OLD HOOK RD, SUITE 1
EMERSON, NJ 07630
Bergen County (201) 967-8221
MR. JAY GREENSPAN PT
Specialist
466 OLD HOOK RD, SUITE 16
EMERSON, NJ 07630
Bergen County (201) 634-1811
DR. ROBERT H PITTMAN MD
Internal Medicine (Gastroenterology)
466 OLD HOOK RD, SUITE 1
EMERSON, NJ 07630
Bergen County (201) 967-8221
DR. ARI BEN-YISHAY MD
Specialist
466 OLD HOOK RD, SUITE 16
EMERSON, NJ 07630
Bergen County (201) 634-1811
DR. JEFFREY S. KIM M.D.
Internal Medicine (Pulmonary Disease)
466 OLD HOOK RD, SUITE 26
EMERSON, NJ 07630
Bergen County (201) 261-0821
FRANK LOUIS MASTRIANNO MD
Internal Medicine
466 OLD HOOK RD, STE #38
EMERSON, NJ 07630
Bergen County (201) 262-0333
DR. DEBORA K GELLER MD
Allergy & Immunology
466 OLD HOOK RD
EMERSON, NJ 07630
Bergen County (201) 649-8100
DR. JEFF CHUNG M.D.
Internal Medicine (Rheumatology)
466 OLD HOOK RD
EMERSON, NJ 07630
Bergen County (201) 967-8221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian K. Bethala, MD PA's NPI number?

The NPI number for Vivian K. Bethala, MD PA is 1568412799. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Vivian K. Bethala, MD PA located?

Vivian K. Bethala, MD PA is located at 466 Old Hook Rd Suite 9, Emerson, NJ 07630. The listed phone number is (201) 261-1005.

What is Vivian K. Bethala, MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Vivian K. Bethala, MD PA was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.