Vita Medical Associates, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD041008L Issued in PA

Legal business name

VITA MEDICAL ASSOCIATES, PC

Doing business as

Vita Medical Associates PC

Practice address

306 S New St Ste 201
Bethlehem, PA 18015-1652

Phone

(610) 866-0113

Fax

(610) 974-8589

NPI assigned

Aug 31, 2006

Last updated

Jan 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Masenheiimer

Title

Practice Administrator

Phone

(610) 866-0113

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Vita Medical Associates PC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James J Boylan, MD

  • Gastroenterology Physician
  • Bethlehem, PA
  • NPI 1538159546
  Medicare reassignment Care Compare group NPD
• Anna M Comayagua, APN

  • Adult Health Nurse Practitioner
  • Allentown, PA
  • NPI 1710529151
  Medicare reassignment Care Compare group NPD
• Anna Alina Niewiarowska, M.D.

  • Hematology & Oncology Physician
  • Bethlehem, PA
  • NPI 1003927559
  Medicare reassignment Care Compare group NPD
• Tomasz J Niewiarowski, M.D.

  • Gastroenterology Physician
  • Bethlehem, PA
  • NPI 1073624441
  Medicare reassignment Care Compare group NPD
• Tara Lee Gerber-Mehta, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
  • NPI 1578891172
  Medicare reassignment NPD
• Guiyun Zhou, APRN, BC

  • Nurse Practitioner
  • Fountain Hill, PA
  • NPI 1952412421
  Medicare reassignment NPD
• Gerlanda Derr, APRN

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1205072808

  PA

  Medicare reassignment NPD
• Maria Davis, CRNP

  • Family Nurse Practitioner
  • Bethlehem, PA
  • NPI 1699326413
  NPD
• Moses S Raj, MD

  • Hematology & Oncology Physician
  • Denver, NC
  • NPI 1992707418
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1649381187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S NEW ST STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151112",
            "telephone_number": "610-866-0113",
            "fax_number": "610-974-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S NEW ST STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151652",
            "telephone_number": "610-866-0113",
            "fax_number": "610-974-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "MASENHEIIMER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "610-866-0113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD040218L",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD041008L",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014316580002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018028540001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012930600003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vita Medical Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Visiting Nurse Association of Saint Lukes Home Health Hospice Inc (St Lukes Home Health)
• Visiting Nurse Association of Saint Lukes Home Health Hospice Inc (St. Luke's Hospice)
• Visiting Nurse Association of St. Luke's Home Health / Hospice, Inc.
• Zoey Lee Visnosky, CRNP
• Christina Viso, DO
• Vitalistic Therapeutic Charter School of the Lehigh Valley
• Sarah Francesca Vito, MSN, CRNP, FNP-BC
• Shanna Vito, CRNP
• Nikki Vitoroulis
• Edgar M Vizcaino, M.D.

• Hematology & Oncology Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.