Individual provider Active NPI

Mathew Varghese, MD

  • Allergy Physician
  • North Bergen, NJ
National Provider Identifier
1407884125
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
25MA08720900 Issued in NJ
Practice address
8901 Kennedy Blvd Ste 4SW
North Bergen, NJ 07047-5344
Phone
(201) 374-1718
Fax
(201) 374-1719
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 25MA08720900 NJ Primary
Internal Medicine Physician 207R00000X 25MA08720900 NJ

Addresses

Primary practice location

8901 Kennedy Blvd Ste 4SW
North Bergen, NJ 07047-5344

Mailing address

8901 Kennedy Blvd Ste 4SW
North Bergen, NJ 07047-5344
Phone (201) 374-1718

Other practice location 1

300 Knickerbocker Rd Ste 1500
Cresskill, NJ 07626-1347
Phone (201) 374-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT2 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
I20100427000311 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8921008376 Reassigns benefits to 1 organization
I20251223000985 CT Practitioner - Allergy/Immunology 8921008376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

79 E Putnam Ave
Suite 19
Greenwich, CT 06830-5644
Phone (201) 374-1718

8901 JF Kennedy Blvd
North Bergen, NJ 07047-5344
Phone (201) 374-1718

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Allergy Asthma and Sinus Center LLC Allergy CurrentSince Sep 13, 2010 Accepting new patients
Corinth Inpatient Services LLC Internal Medicine Past Accepting new patients
One Bergen Health PC Internal Medicine PastSince Jun 29, 2025 Accepting new patients
Medical Associates of Brevard LLC Past Accepting new patients
ENT and Allergy Associates LLP Past Accepting new patients
Inpatient Services of Florida PA Internal Medicine Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Comprehensive Hospitalist Services of Florida LLC Past Accepting new patients

Locations

79 E Putnam Ave
Ste 19
Greenwich, CT 06830
Phone (201) 374-1718

300 Knickerbocker Rd
Ste 1500
Cresskill, NJ 07626
Phone (201) 374-1718

8901 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 758-1001

8901 Kennedy Blvd
Ste 4SW
North Bergen, NJ 07047
Phone (201) 374-1718

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mathew.varghese.1@3689.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3689/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1717459200000",
    "number": "1407884125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 4SW",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475344",
            "telephone_number": "201-374-1718",
            "fax_number": "201-374-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 4SW",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475344",
            "telephone_number": "201-374-1718",
            "fax_number": "201-374-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Knickerbocker Rd Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Cresskill",
            "state": "NJ",
            "postal_code": "076261347",
            "country_code": "US",
            "telephone_number": "201-374-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA08720900",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08720900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.