Old Tappan Medical Group Dept of Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OLD TAPPAN MEDICAL GROUP DEPT OF INTERNAL MEDICINE, LLC

Practice address

215 Old Tappan Rd
Old Tappan, NJ 07675-7000

Phone

(201) 666-1000

Fax

(201) 666-7610

NPI assigned

Aug 4, 2006

Last updated

Jun 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen G. Varhol, M.D.NPI 1457369357

Title

President

Phone

(201) 666-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen G Varhol, MD

  • Internal Medicine Physician
  • Old Tappan, NJ
  • NPI 1457369357
  Authorized official Same address or phone

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1083622799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757000",
            "telephone_number": "201-666-1000",
            "fax_number": "201-666-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757000",
            "telephone_number": "201-666-1000",
            "fax_number": "201-666-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TAPPAN MEDICAL GROUP DEPT OF INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "VARHOL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-666-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey CVS Pharmacy LLC (CVS Pharmacy 01224)
• Northern Valley Vascular Associates
• Donna Gabriella Nucera, LAC
• Olubunmi E Okunlola, MD
• Old Tappan Chiropractic, PA
• Old Tappan Medical Group, PA
• Old Tappan Pediatrics
• Olakunle Kayode Oluwole, M.D.
• Ozzy Sanchez, LCSW (theSTARTinstitute)
• Helen Papadatos

• Internal Medicine Physician in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.