Individual provider Active NPI

Sally F Vitez, M.D.

  • Reproductive Endocrinology Physician
  • Jenkintown, PA
National Provider Identifier
1871942235
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD470662 Issued in PA
Practice address
1653 The Fairway Ste 218
Jenkintown, PA 19046-1420
Phone
(267) 296-9270
Fax
(267) 296-9271
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD470662 PA Primary

Addresses

Primary practice location

1653 The Fairway Ste 218
Jenkintown, PA 19046-1420

Mailing address

9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190123000038 PA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 4587901020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shady Grove Fertility Center of Pennsylvania PLC Reproductive Endocrinology PastSince Nov 7, 2025 Accepting new patients
Shady Grove Reproductive Science Center PC PastSince Nov 7, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1871942235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 THE FAIRWAY STE 218",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461420",
            "telephone_number": "267-296-9270",
            "fax_number": "267-296-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITEZ",
        "first_name": "SALLY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD470662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.