Active NPI
Vitaliia Sharon, PA-C
- Physician Assistant
- Bethlehem, PA
National Provider Identifier
1417761750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA065983
- Practice address
- 3400 Bath Pike Ste 203
Bethlehem, PA 18017-2480 - Phone
- (610) 821-8321
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA065983 | PA | Primary |
Addresses
Primary practice location
3400 Bath Pike Ste 203
Bethlehem, PA 18017-2480
Mailing address
204 Datura Dr
Pittsburgh, PA 15235-3153
Other practice location 1
2200 Hamilton St Ste 111
Allentown, PA 18104-6329
Phone (610) 821-8321
Other names 1
- N/a N/a
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA065983 | PA | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Allentown, PA
- NPI 1679013098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1417761750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 DATURA DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152353153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BATH PIKE STE 203",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180172480",
"telephone_number": "610-821-8321"
}
],
"practiceLocations": [
{
"address_1": "2200 Hamilton St Ste 111",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181046329",
"country_code": "US",
"telephone_number": "610-821-8321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARON",
"first_name": "VITALIIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA065983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.