Healthcare Provider Details

I. General information

NPI: 1841128337
Provider Name (Legal Business Name): KITWOOD HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 BERRHILL DR
WILLIAMSTOWN NJ
08094-3669
US

IV. Provider business mailing address

PO BOX 301659
AUSTIN TX
78703-0028
US

V. Phone/Fax

Practice location:
  • Phone: 866-621-3524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN BEKANICH
Title or Position: CMO
Credential: MD
Phone: 888-690-0977