NPIMap

Organization Active NPI

New Vitae, Inc.

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1043775711
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEW VITAE, INC.
Practice address
27 S. 55TH Street
Philadelphia, PA 19139-3247
Phone
(267) 499-4299
Fax
(267) 713-7372
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joan Muth
Title
Director, Project Management
Phone
(610) 965-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

27 S. 55TH Street
Philadelphia, PA 19139-3247

Mailing address

PO Box 1001
Limeport, PA 18060-0010
Phone (610) 965-9021

Other identifiers 1

IdentifierTypeStateIssuer
100745845MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
New Vitae Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1043775711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "LIMEPORT",
            "state": "PA",
            "postal_code": "180600010",
            "telephone_number": "610-965-9021",
            "fax_number": "610-928-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S. 55TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393247",
            "telephone_number": "267-499-4299",
            "fax_number": "267-713-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VITAE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "MUTH",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR, PROJECT MANAGEMENT",
        "authorized_official_telephone_number": "610-965-9021"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100745845",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.