Individual provider Active NPI

Anisha Varghese

  • Physical Therapist
  • New City, NY
National Provider Identifier
1073033080
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01962100 Issued in NJ
Practice address
490 Route 304
New City, NY 10956-3040
Phone
(845) 507-0477
NPI assigned
Jun 21, 2017
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01962100 NJ Primary
Physical Therapist 225100000X 046953 NY
Orthopedic Physical Therapist 2251X0800X
Athletic Trainer 2255A2300X 003478 NY
Athletic Trainer 2255A2300X 25MT00278900 NJ

Addresses

Primary practice location

490 Route 304
New City, NY 10956-3040

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

650 From Rd Ste 420
Paramus, NJ 07652-3551
Phone (201) 639-6620

Other practice location 2

50 Craig Rd
Montvale, NJ 07645-1709
Phone (201) 639-6620

Other practice location 3

795 Franklin Ave Bldg A
Franklin Lakes, NJ 07417-1368
Phone (201) 972-8967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201019000381 NJ Practitioner - Physical Therapist in Private Practice 8729408471 Reassigns benefits to 2 organizations
I20230105001604 NY Practitioner - Physical Therapist in Private Practice 8729408471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

210 N Central Ave
Suite 330
Hartsdale, NY 10530-1951
Phone (914) 946-5685

490 Route 304
New City, NY 10956-3040
Phone (845) 507-0477

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046953NYMDPharmacist
40QA01962100NJMDPhysical Therapist
25MT00278900NJMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 17, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 15, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 15, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Dec 1, 2025 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

795 Franklin Ave
Bldg A
Franklin Lakes, NJ 07417
Phone (201) 639-6620

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-9959

300 Route 17
Mahwah, NJ 07430
Phone (201) 529-8322

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

50 Craig Rd
Montvale, NJ 07645
Phone (201) 639-6620

650 From Rd
Ste 420
Paramus, NJ 07652
Phone (201) 639-6620

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

111 E 210th St
Bronx, NY 10467

210 N Central Ave
Ste 330
Hartsdale, NY 10530
Phone (914) 873-1878

576 Broadhollow Rd
Melville, NY 11747

490 Route 304
New City, NY 10956
Phone (845) 507-0477

653 White PLNS Rd
Tarrytown, NY 10591

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1073033080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563040",
            "telephone_number": "845-507-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 From Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523551",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451709",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 Franklin Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074171368",
            "country_code": "US",
            "telephone_number": "201-972-8967",
            "fax_number": "201-972-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "ANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01962100",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046953",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003478",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00278900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.