VIVIAN K. BETHALA, MD PA
NPI 1568412799
Specialist in Emerson, NJ
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
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vivian K. Bethala, Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vivian K. Bethala, MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Vivian K. Bethala, MD PA enrolled in Medicare?
Yes. Vivian K. Bethala, MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vivian K. Bethala, MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vivian K. Bethala, MD PA, in Gastroenterology and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Vivian K. Bethala, Md Pa · NPI 1568412799
Specialist organization in Emerson, New Jersey. Organization record, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1568412799 (Entity type: Organization)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Vivian Bethala, PRESIDENT
## Practice location
- **Address:** 466 OLD HOOK RD, SUITE 9, Emerson, NJ 07630-1396
- **Phone:** (201) 261-1005 · **Fax:** (201) 261-4208
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (1), Physical Medicine and Rehabilitation (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2016
- **Other identifiers:** Medicare UPIN C56423 (NJ); Medicare ID-Type Unspecified 025511 (NJ); Medicaid 4906403 (NJ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1568412799) · Data from the CMS NPPES public registry.