Vivian Kumar Bethala (NPI# 1235191800, PAC ID# 7719875277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1235191800 |
| PAC ID by PECOS | 7719875277 |
| Professional Enrollment ID | I20040306000105 |
| Full Name | Vivian Kumar Bethala |
| Organization Legal Name | VIVIAN K BETHALA MD PA |
| Address |
466 Old Hook Rd Suite 9 Emerson NJ 07630-1510 |
| Phone Number | 2012611005 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800884040 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310012 | VALLEY HOSPITAL |
| 310008 | HOLY NAME MEDICAL CENTER |
| 310130 | HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL |
| Address | Phone | Organization |
|---|---|---|
| 466 Old Hook Rd, Suite 9, Emerson, NJ 07630-1510 | 2012611005 | VIVIAN K BETHALA MD PA |
| 11 -26 Saddle River Rd, Fair Lawn, NJ 07410-5634 | 2017969200 | MEDICAL MULTISPECIALTY ASSOCIATION PA |
| Organization Legal Name | VIVIAN K BETHALA MD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nalini Bethala | Physical Medicine and Rehabilitation | Vivian K Bethala Md Pa | 466 Old Hook Rd, Suite 9, Emerson, NJ 07630-1510 |
| Zabi Z Shahsamand | Anesthesiology | Vivian K Bethala Md Pa | 466 Old Hook Rd, Suite 9, Emerson, NJ 07630-1510 |
| Street Address |
466 OLD HOOK RD SUITE 9 |
| City | EMERSON |
| State | NJ |
| Zip | 07630-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandeep Kour | Endocrinology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Frank L Mastrianno | Internal Medicine | 466 Old Hook Rd, Suite 28, Emerson, NJ 07630-1368 | |
| Jeff Chung | Rheumatology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Janelle A Yee | Endocrinology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Frank M Candido | Internal Medicine | 466 Old Hook Rd, Suite 11 and 12, Emerson, NJ 07630-1396 | |
| Bon Chang Koo | Gastroenterology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Laurie Schlussel | Registered Dietitian Or Nutrition Professional | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 | |
| Ofra Csw Markowitz | Clinical Social Worker | 466 Old Hook Rd, Suite 30, Emerson, NJ 07630-1368 | |
| Neeta R Motiwala | Internal Medicine | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Eric Avezzano | Gastroenterology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Baron I Kim | Physical Therapy | Emerson Physical Therapy LLC | 45 Emerson Plaza E, 102 Emerson Phy Therapy and Rehab, Emerson, NJ 07630-0001 |
| Clifford Bachiman | Physical Therapy | Emerson Physical Therapy LLC | 45 Emerson Plaza E, 102 Emerson Phy Therapy and Rehab, Emerson, NJ 07630-0001 |
| Shruti A Patel | Podiatry | Active Orthopedics and Sports Medicine LLC. | 440 Old Hook Rd, Emerson, NJ 07630-1331 |
| Richard J Garden | Urology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Jenny S Ayala | Internal Medicine | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Sabrina L Tempesta | Internal Medicine | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Deana T Nes | Rheumatology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Brenda M Christensen | Cardiovascular Disease (cardiology) | 466 Old Hook Rd, Suite 12, Emerson, NJ 07630-1368 | |
| Shaira Rose | Physical Therapy | A R Rehabilitation and Physical Therapy | 466 Old Hook Rd, 24a, Emerson, NJ 07630-1368 |
| Anil J Patel | Anesthesiology | Premier Medical Alliance LLC | 466 Old Hook Rd, Emerson, NJ 07630-1368 |
| Find all physicians in zip 07630 | |||
| City | EMERSON |
| Zip Code | 07630 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | EMERSON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Vivian Kumar Bethala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.