| Vita Medical Center, Pc | |
|
87 Berdan Ave Ste 2b Wayne NJ 07470-3210 | |
| (973) 692-9631 | |
| (973) 692-1112 |
| Full Name | Vita Medical Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 87 Berdan Ave Ste 2b, Wayne, New Jersey |
| Authorized Official Name and Position | Lisa Melsky (DOCTOR) |
| Authorized Official Contact | 9736929631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Medical Center, Pc 87 Berdan Ave Ste 2b Wayne NJ 07470-3210 Ph: (973) 692-9631 | Vita Medical Center, Pc 87 Berdan Ave Ste 2b Wayne NJ 07470-3210 Ph: (973) 692-9631 |
| NPI Number | 1366500530 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 06/16/2010 |
| Medicare PECOS PAC ID | 0840243408 |
|---|---|
| Medicare Enrollment ID | O20050224000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366500530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA 67715 (New Jersey) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MA56945 (New Jersey) | Secondary |
| Provider Name | Steven Festa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467433813 PECOS PAC ID: 7517953334 Enrollment ID: I20040426000246 |
| Provider Name | Michael L Steinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114908811 PECOS PAC ID: 2769478585 Enrollment ID: I20040426000263 |
| Provider Name | Lisa Melsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609950906 PECOS PAC ID: 1658413810 Enrollment ID: I20100126000645 |
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