Individual provider Active NPI

Leticia Velivis, MD

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1619384450
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10245000 Issued in NJ
Practice address
2710 Schoenersville Rd
Bethlehem, PA 18017-3574
Phone
(610) 297-7500
Fax
(610) 297-7533
NPI assigned
Jul 14, 2014
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10245000 NJ Primary
Psychiatry Physician 2084P0800X MD4637980 PA

Addresses

Primary practice location

2710 Schoenersville Rd
Bethlehem, PA 18017-3574

Mailing address

671 Hoes LN W
Piscataway, NJ 08854-8021
Phone (732) 235-4433

Other practice location 1

1251 S Cedar Crest Blvd Ste 202A
Allentown, PA 18103-6214
Phone (610) 402-5766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180703002497 PA Practitioner - Psychiatry 4082960125 Reassigns benefits to 1 organization
I20220920002143 NJ Practitioner - Psychiatry 4082960125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

671 Hoes Lane W
Piscataway, NJ 08854-8021
Phone (732) 235-7647

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10245000NJMDPsychiatry Physician
MD4637980PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Psychiatry CurrentSince Jul 18, 2022 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 18, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 16, 2018 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 16, 2018 Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

671 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-3289

1251 S Cedar Crest Blvd
Ste 202A
Allentown, PA 18103
Phone (610) 402-5766

2710 Schoenersville Rd
Bethlehem, PA 18017
Phone (610) 297-7500

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1619384450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548021",
            "telephone_number": "732-235-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173574",
            "telephone_number": "610-297-7500",
            "fax_number": "610-297-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 S Cedar Crest Blvd Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036214",
            "country_code": "US",
            "telephone_number": "610-402-5766",
            "fax_number": "610-402-5763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELIVIS",
        "first_name": "LETICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10245000",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD4637980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.