Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivian K. Bethala, MD PA

Organization Specialist · NPI 1568412799

Vivian K. Bethala, MD PA is a Specialist in Emerson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

466 Old Hook Rd Ste 9
Emerson, NJ 07630-1396
Phone: (201) 261-1005
Fax: (201) 261-4208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA0371400 (NJ)

Record details

NPI number1568412799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Bethala — President · (201) 261-1005
NPI enumeratedMay 10, 2006
Last updated in NPPESDecember 2, 2016
Mailing address466 Old Hook Rd, Suite 9, Emerson, NJ 07630-1396

Other providers in Emerson