Shaju Varghese, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DSO36932 Issued in PA

Practice address

942 Main Street
Red Hill, PA 18076-1339

Phone

(215) 679-8033

Fax

(215) 679-8038

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

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.

• Farris and Moll PC

  • Dentist
  • Red Hill, PA
  • NPI 1417084336
  NPD (past)
• Michael Bonomo, DMD, LLC

  • Public Health Dentistry
  • Red Hill, PA
  • NPI 1295073914
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013044932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 MAIN STREET",
            "city": "RED HILL",
            "state": "PA",
            "postal_code": "180761339",
            "telephone_number": "215-679-8033",
            "fax_number": "215-679-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 MAIN STREET",
            "city": "RED HILL",
            "state": "PA",
            "postal_code": "180761339",
            "telephone_number": "215-679-8033",
            "fax_number": "215-679-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SHAJU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO36932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ashley Rombola, RN
• Barry Ward Sauls, D.C.
• Rebecca Seeley, M.A., CCC-SLP
• Engelina Smith
• Margaret Ukoyo, NP

• Dentist in Red Hill, PA
• Providers in Red Hill, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.