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VITA MEDICAL CENTER PC NPI 1366500530


NPI Information

NPI: 1366500530
Provider Name: VITA MEDICAL CENTER, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
87 BERDAN AVE STE 2B
WAYNE, NJ
ZIP 07470
Phone: (973) 692-9631
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VITA MEDICAL CENTER, PC is an internal medicine in Wayne, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VITA MEDICAL CENTER, PC NPI is 1366500530. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

87 BERDAN AVE STE 2B
WAYNE, NJ
ZIP 07470-210
Phone: (973) 692-9631
Fax: (973) 692-1112

The provider's authorized official is Lisa Melsky .
The authorized official title is Doctor and has the following contact phone number (973) 692-9631.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/16/2010.


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
12085R0202XRadiologyDiagnostic RadiologyMA56945NEW JERSEYNo
2207R00000XInternal MedicineMA 67715NEW 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
1G87237MEDICARE UPINNEW JERSEY
26376470001MEDICARE NSCNEW JERSEY
3G63238MEDICARE UPINNEW JERSEY
4066210MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYGROUP ID

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: 5/5/2024

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