NPIMap

Organization Active NPI

Nitin V Sheth MD LLC

  • Adult Mental Health Clinic/Center
  • Lewistown, PA
National Provider Identifier
1124324017
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MD037225E Issued in PA
Legal business name
NITIN V SHETH MD LLC
Practice address
6 N Dorcas St
Lewistown, PA 17044-1737
Phone
(717) 953-9571
Fax
(717) 953-9576
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Dr. Nitin Vasantrai Sheth, MDNPI 1184737611
Title
Owner / Manager
Phone
(717) 953-9571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD037225E PA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MD037225E PA

Addresses

Primary practice location

6 N Dorcas St
Lewistown, PA 17044-1737

Mailing address

6 N Dorcas St
Lewistown, PA 17044-1737
Phone (732) 725-8675

Other identifiers 1

IdentifierTypeStateIssuer
0010619960009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110509000057 PA Part B Supplier - Clinic/Group Practice 0143405134 Receives reassigned benefits from 15 practitioners
Practice locations: Lewistown, PA

National Provider Directory

National Provider Directory

Locations

27 Sandy Ln
Ste 190
Lewistown, PA 17044
Phone (717) 348-1697

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1124324017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N DORCAS ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441737",
            "telephone_number": "732-725-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N DORCAS ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441737",
            "telephone_number": "717-953-9571",
            "fax_number": "717-953-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITIN V SHETH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "VASANTRAI",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "717-953-9571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "MD037225E",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "MD037225E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010619960009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.