Active NPI
Anisha Varghese
- Physical Therapist
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01962100
- Practice address
- 490 Route 304
New City, NY 10956-3040 - Phone
- (845) 507-0477
- NPI assigned
- Jun 21, 2017
- Last updated
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046953 | NY | MD | Pharmacist |
| 40QA01962100 | NJ | MD | Physical Therapist |
| 25MT00278900 | NJ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | 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
- 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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Physical Therapist
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
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.