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

Individual provider Specialist · NPI 1235191800

Dr. Vivian K Bethala, MD is a Gastroenterology in Emerson, New Jersey. Qualified in 1974, 52 years ago. Practices with Medical Multispecialty Association PA, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
52
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

466 Old Hook Rd Ste 9
Emerson, NJ 07630-1396
Phone: (201) 261-1005
Fax: (201) 261-4208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA03714400 (NJ)

Record details

NPI number1235191800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESAugust 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Medical Multispecialty Association Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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