Organization Active NPI

New Vitae Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1538515564
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
144110 Issued in PA
Legal business name
NEW VITAE INC
Practice address
27 S 55TH Street
Philadelphia, PA 19139
Phone
(267) 499-4299
Fax
(267) 713-7372
NPI assigned
May 9, 2016
Last updated
Jul 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 144110 PA
Community/Behavioral Health Agency 251S00000X 144110 PA Primary

Addresses

Primary practice location

27 S 55TH Street
Philadelphia, PA 19139

Mailing address

P.O. Box 1001
5201 St Josephs Road
Limeport, PA 18060-0010
Phone (610) 965-9021

Other identifiers 1

IdentifierTypeStateIssuer
1007458450MedicaidPA

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1538515564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1001",
            "address_2": "5201 ST JOSEPHS ROAD",
            "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": "19139",
            "telephone_number": "267-499-4299",
            "fax_number": "267-713-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VITAE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2018-07-11",
        "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",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "144110",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "144110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007458450",
            "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 Jul 11, 2018; 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.