Active NPI
Mathew Varghese, MD
- Allergy Physician
- North Bergen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 25MA08720900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Valley Allergy Asthma and Sinus Center LLC | Allergy | Current | Accepting new patients |
| Corinth Inpatient Services LLC | Internal Medicine | Past | Accepting new patients |
| One Bergen Health PC | Internal Medicine | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mathew.varghese.1@3689.direct.athenahealth.com
- 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.
-
- Allergy Physician
- Greenwich, CT
- NPI 1083922314
NJ
-
- Internal Medicine Physician
- Bergenfield, NJ
- NPI 1508753492
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1821185984
-
- Internal Medicine Physician
- New Port Richey, FL
- NPI 1578763603
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
-
- Internal Medicine Physician
- New Port Richey, FL
- NPI 1992715619
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1861400103
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.