Organization Active NPI

Varzcare Clinic LLC

  • Family Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1003576125
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VARZCARE CLINIC LLC
Practice address
999 N Main St Ste 4
Randolph, MA 02368-3072
Phone
(617) 291-7124
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Chinyere Mmaku Ofurum-OnoniwuNPI 1023575081
Title
President
Phone
(617) 291-7124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

999 N Main St Ste 4
Randolph, MA 02368-3072

Mailing address

19 Myrtle St
Hanover, MA 02339-2525
Phone (617) 291-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220912000179 MA Part B Supplier - Clinic/Group Practice 1951786029 Receives reassigned benefits from 1 practitioner
Practice locations: Randolph, MA

National Provider Directory

National Provider Directory

Locations

999 N Main St
Ste 4
Randolph, MA 02368
Phone (617) 291-7124

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25763/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1003576125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MYRTLE ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392525",
            "telephone_number": "617-291-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 4",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "617-291-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARZCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "OFURUM-ONONIWU",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_middle_name": "MMAKU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-291-7124"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.