Vivian K. Bethala, MD PA
NPI 1568412799 · Specialist · Emerson, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vivian K. Bethala, MD PA is a Specialist organization in Emerson, NJ (NPI 1568412799).
Provider details
- NPI number
- 1568412799
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Vivian Bethala, President(201) 261-1005
- License
- 25MA0371400 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2016-12-02
Frequently asked questions
- What is Vivian K. Bethala, MD PA's NPI number?
- Vivian K. Bethala, MD PA's National Provider Identifier (NPI) is 1568412799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vivian K. Bethala, MD PA?
- Vivian K. Bethala, MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Vivian K. Bethala, MD PA located?
- Vivian K. Bethala, MD PA's practice location on file with NPPES is 466 Old Hook Rd, Emerson, NJ 07630-1396.
- What is Vivian K. Bethala, MD PA's phone number?
- The practice phone number listed in the NPPES registry for Vivian K. Bethala, MD PA is (201) 261-1005.
- Does Vivian K. Bethala, MD PA accept Medicare?
- Vivian K. Bethala, MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vivian K. Bethala, MD PA?
- The authorized official listed on Vivian K. Bethala, MD PA's NPPES record is Vivian Bethala, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vivian K. Bethala, MD PA's NPI active?
- Yes — Vivian K. Bethala, MD PA's NPI (1568412799) is active in the NPPES registry as of the last update on 2016-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.