DR. VIVIAN K BETHALA MD NPI 1235191800

NPI Information

  • NPI: 1235191800
  • Provider Name: DR. VIVIAN K BETHALA, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 466 OLD HOOK RD
    SUITE 9
    EMERSON, NJ
    ZIP 07630
  • Phone: (201) 261-1005

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NPI Details

DR. Vivian K Bethala, MD is a specialist in Emerson, NJ with 52 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Vivian K Bethala, MD NPI is 1235191800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

466 OLD HOOK RD
SUITE 9
EMERSON, NJ
ZIP 07630-396
Phone: (201) 261-1005
Fax: (201) 261-4208

The NPI 1235191800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Removal of stone or debris from bile or pancreatic duct using a flexible endoscope (HCPCS:43264)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of stent into pancreatic or bile duct using a flexible endoscope (HCPCS:43274)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Insertion of stomach tube using a flexible endoscope (HCPCS:43246)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of stent from pancreatic or bile duct using a flexible endoscope (HCPCS:43275)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 4/6/2006 and was last updated on 8/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA03714400NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14906403MEDICAIDNEW JERSEY
2C56423MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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