Vitevity Health PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

VITEVITY HEALTH PLLC

Doing business as

Philadelphia Center for Sexual Medicine

Practice address

2 Bala PLZ
Suite PL 08
Bala Cynwyd, PA 19004-1501

Phone

(610) 668-8300

Fax

(610) 668-8304

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Paul R Gittens, MDNPI 1801095369

Title

Owner

Phone

(610) 668-8300

Specialties & licenses 1

Addresses

Other names 1

• Philadelphia Center for Sexual Medicine Doing business as

Locations

Practitioners 1

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.

• Paul R Gittens Jr., MD

  • Urology Physician
  • Bala Cynwyd, PA
  • NPI 1801095369
  Authorized official Same address or phone

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1851705701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ",
            "address_2": "SUITE PL 08",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-8300",
            "fax_number": "610-668-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ",
            "address_2": "SUITE PL 08",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-8300",
            "fax_number": "610-668-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITEVITY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "GITTENS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-668-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Center for Sexual Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.