Individual provider Active NPI

Rebecca M Varghese, MD

  • Internal Medicine Physician
  • Montvale, NJ
National Provider Identifier
1275563934
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06805500 Issued in NJ
Practice address
8 E Grand Ave
Montvale, NJ 07645-2536
Phone
(201) 775-1153
Fax
(845) 675-5005
NPI assigned
Jul 5, 2006
Last updated
Nov 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06805500 NJ Primary

Addresses

Primary practice location

8 E Grand Ave
Montvale, NJ 07645-2536

Mailing address

8 E Grand Ave
Montvale, NJ 07645-2536
Phone (201) 775-1153

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
I20100608000317 NJ Practitioner - Internal Medicine 3870623440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

8 E Grand Ave
Suite 1
Montvale, NJ 07645-2536
Phone (201) 775-1153

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as individual
Quality
87.24
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06805500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority Internal Medicine CurrentSince Sep 5, 2016 Accepting new patients
Bergen County Improvement Authority CurrentSince Sep 5, 2016 Accepting new patients
Lifeline Urgent Care LLC CurrentSince Dec 1, 2016 Accepting new patients
Valley Health Medical Group, NJ-PC Internal Medicine Past Accepting new patients

Locations

8 E Grand Ave
Montvale, NJ 07645
Phone (201) 474-5189

8 E Grand Ave
Ste 1
Montvale, NJ 07645
Phone (201) 775-1153

8 E Grand Ave
Ste 2
Montvale, NJ 07645

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

230 E Ridgewood Ave
Bldg 10
Paramus, NJ 07652
Phone (201) 967-9020

Interoperability endpoints

  • Direct secure messaging: rvarghese190331@ahs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1275563934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E GRAND AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452536",
            "telephone_number": "201-775-1153",
            "fax_number": "845-675-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E GRAND AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452536",
            "telephone_number": "201-775-1153",
            "fax_number": "845-675-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06805500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

Verify at the official NPI Registry.