Individual provider Active NPI

Rebecca A Varela, MD

  • Anesthesiology Physician
  • Watchung, NJ
National Provider Identifier
1265460208
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06318800D Issued in NJ
Practice address
40 Stirling Rd
Watchung, NJ 07069-5900
Phone
(908) 803-4762
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06318800D NJ Primary

Addresses

Primary practice location

40 Stirling Rd
Watchung, NJ 07069-5900

Mailing address

40 Stirling Rd
Watchung, NJ 07069-5900
Phone (908) 803-4762

Other identifiers 1

IdentifierTypeStateIssuer
7531109MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000349 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 5799734406 Practice locations: Warren, NJ; Watchung, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06318800DNJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Anesthesia Services, PC Anesthesiology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1265460208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-803-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-803-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06318800D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7531109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.