NPIMap

Organization Active NPI

New Vitae Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1629529086
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW VITAE INC
Practice address
5646 Walnut Street
Philadelphia, PA 19139-3920
Phone
(610) 965-9021
Fax
(215) 472-6580
NPI assigned
Oct 20, 2016
Last updated
Nov 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5646 Walnut Street
Philadelphia, PA 19139-3920

Mailing address

16 S Main St
Quakertown, PA 18951-1118
Phone (215) 538-3403

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.

Locations

5646 Walnut St
Philadelphia, PA 19139
Phone (610) 965-9021

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1629529086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S MAIN ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511118",
            "telephone_number": "215-538-3403",
            "fax_number": "215-538-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 WALNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393920",
            "telephone_number": "610-965-9021",
            "fax_number": "215-472-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VITAE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-11-11",
        "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"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Nov 11, 2016; 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.