| Vita Medical Associates Pc | |
|
306 S New St Ste 201 Bethlehem PA 18015-1652 | |
| (610) 866-0113 | |
| (610) 974-8589 |
| Full Name | Vita Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 306 S New St Ste 201, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Jennifer Masenheiimer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6108660113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Medical Associates Pc 306 S New St Ste 201 Bethlehem PA 18015-1112 Ph: (610) 866-0113 | Vita Medical Associates Pc 306 S New St Ste 201 Bethlehem PA 18015-1652 Ph: (610) 866-0113 |
| NPI Number | 1649381187 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/13/2023 |
| Medicare PECOS PAC ID | 3779554407 |
|---|---|
| Medicare Enrollment ID | O20090302000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649381187 | NPI | - | NPPES |
| 0012930600003 | Medicaid | PA | |
| 0018028540001 | Medicaid | PA | |
| 0014316580002 | Medicaid | PA |
| Provider Name | James J Boylan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538159546 PECOS PAC ID: 0446243927 Enrollment ID: I20040408000657 |
| Provider Name | Tomasz J Niewiarowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073624441 PECOS PAC ID: 6305839895 Enrollment ID: I20040408000700 |
| Provider Name | Guiyun Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952412421 PECOS PAC ID: 3971538539 Enrollment ID: I20051003000254 |
| Provider Name | Anna A Niewiarowska |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003927559 PECOS PAC ID: 5496780041 Enrollment ID: I20090302000658 |
| Provider Name | Gerlanda Derr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205072808 PECOS PAC ID: 5890847784 Enrollment ID: I20090724000008 |
| Provider Name | Tara Gerber-mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578891172 PECOS PAC ID: 7810039062 Enrollment ID: I20100126000536 |
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