Individual provider Active NPI

Vincent Varghese, D.O.

  • Cardiovascular Disease Physician
  • Marlton, NJ
National Provider Identifier
1316145808
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB08266000 Issued in NJ
Practice address
5 Greentree Center
Suite 117
Marlton, NJ 08053
Phone
(609) 820-2430
Fax
(609) 939-1985
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C2-0009902 DE
Cardiovascular Disease Physician 207RC0000X 25MB08266000 NJ Primary

Addresses

Primary practice location

5 Greentree Center
Suite 117
Marlton, NJ 08053

Mailing address

5 Greentree Center
Suite 117
Marlton, NJ 08053
Phone (609) 820-2430

Other practice location 1

320 Route 73
Voorhees, NJ 08043-9654
Phone (856) 335-4118

Other identifiers 1

IdentifierTypeStateIssuer
1316145808MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140212001139 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325215627 Reassigns benefits to 4 organizations
I20220217002514 PA Practitioner - Interventional Cardiology 8325215627 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Health Mid-Atlantic Medical GroupGroup PAC ID 7416861885, 350 clinicians
Revascmedprofessionals PCGroup PAC ID 6800207168, 3 clinicians
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4701

170 N Henderson Rd
Suite 310
King of Prussia, PA 19406-2155
Phone (267) 548-4172

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

212 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

2418 E York St
Philadelphia, PA 19125-3006
Phone (267) 887-0013

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (215) 575-5906

Hospital & facility affiliations

  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Temple University Hospital Hospital, Philadelphia, PA, CCN 390027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08266000NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Feb 4, 2018 Accepting new patients
Suburban Medical Group LLC CurrentSince Jan 1, 2022 Accepting new patients
Advocare, LLC CurrentSince Feb 4, 2018 Accepting new patients
Revascmedprofessionals PC Cardiovascular Disease CurrentSince Sep 13, 2024 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Apr 9, 2014 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Revascmedprofessional NJ LLC Cardiovascular Disease CurrentSince Apr 1, 2022 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 11, 2023 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Nov 11, 2013 Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 11, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Cardiovascular Disease Past Accepting new patients
Metro Physicians Specialty Group, P.C. Cardiovascular Disease PastSince Feb 26, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1364 Route 72 W
Ste 2
Manahawkin, NJ 08050
Phone (609) 597-3416

1364 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-3416

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

525 Route 73 N
Marlton, NJ 08053
Phone (201) 270-7594

320 Route 73
Voorhees, NJ 08043
Phone (856) 335-4118

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

727 Welsh Rd
Ste 103B
Huntingdon Valley, PA 19006
Phone (267) 951-3328

170 N Henderson Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 481-9600

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: medrecs@deborah.medalliesdirect.net
  • Direct secure messaging: vvarghese2892939@direct.trinity-health.org
  • Direct secure messaging: vincent.varghese.1@27406.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1316145808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREENTREE CENTER",
            "address_2": "SUITE 117",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-820-2430",
            "fax_number": "609-939-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GREENTREE CENTER",
            "address_2": "SUITE 117",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-820-2430",
            "fax_number": "609-939-1985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Route 73",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439654",
            "country_code": "US",
            "telephone_number": "856-335-4118",
            "fax_number": "856-809-2594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "VINCENT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C2-0009902",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB08266000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316145808",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.