Individual provider Active NPI

Shubha Varma, M.D.

  • Vascular Surgery Physician
  • Edgewater, NJ
National Provider Identifier
1437220795
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
002058 Issued in NY
Practice address
968 River Rd
Edgewater, NJ 07020-1221
Phone
(201) 224-0757
Fax
(201) 224-0759
NPI assigned
Nov 10, 2006
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA07029400 NJ
Vascular Surgery Physician 2086S0129X 002058 NY Primary

Addresses

Primary practice location

968 River Rd
Edgewater, NJ 07020-1221

Mailing address

968 River Rd
Edgewater, NJ 07020-1221
Phone (201) 224-0757

Other practice location 1

303 George St Ste 105
New Brunswick, NJ 08901-2009
Phone (301) 486-4690

Other practice location 2

440 Chestnut St Ste 101
Union, NJ 07083-3100
Phone (301) 486-4690

Other identifiers 1

IdentifierTypeStateIssuer
0027081MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20040519000520 NJ Practitioner - Vascular Surgery 5496746554 Reassigns benefits to 1 organization
I20040527001014 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 5496746554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 White Plains Rd
Suite 241
Scarsdale, NY 10583-5013
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07029400NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration NJ LLC CurrentSince Apr 8, 2014 Accepting new patients
Center for Vein Restoration NJ LLC Vascular Surgery CurrentSince Apr 8, 2014 Accepting new patients
Trustees of Columbia University in the City of Ny Past Accepting new patients
Center for Vein Restoration CT LLC Vascular Surgery Past Accepting new patients
Center for Vascular Medicine LLC Past Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

557 Cranbury Rd
Ste 15
East Brunswick, NJ 08816
Phone (732) 698-9300

102 James St
Ste 101
Edison, NJ 08820
Phone (855) 809-9600

303 W Main St
Ste 140
Freehold, NJ 07728

211 Essex St
Ste 403
Hackensack, NJ 07601
Phone (201) 646-0044

3840 Quakerbridge Rd
Ste 220
Hamilton, NJ 08619

206 Bergen Ave
Ste 206
Kearny, NJ 07032
Phone (201) 955-2284

456 Chestnut St
Unit 301
Lakewood, NJ 08701

25 Lindsley Dr
Ste 310
Morristown, NJ 07960

303 George St
Ste 105
New Brunswick, NJ 08901
Phone (732) 735-0987

8901 Kennedy Blvd
Ste 3E
North Bergen, NJ 07047
Phone (855) 653-8346

1015 New Rd
Ste D
Northfield, NJ 08225

46 Vreeland Dr
Ste 1
Skillman, NJ 08558

2333 Morris Ave
Ste D210
Union, NJ 07083
Phone (908) 258-0220

205 Browertown Rd
Ste 2
Woodland Park, NJ 07424
Phone (732) 662-5225

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: shubha.varmamd.p5@direct.cvr.nextgenshare.com
  • Direct secure messaging: subha.varmamd.p4@direct.cvm-usa.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1437220795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201221",
            "telephone_number": "201-224-0757",
            "fax_number": "201-224-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201221",
            "telephone_number": "201-224-0757",
            "fax_number": "201-224-0759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 George St Ste 105",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089012009",
            "country_code": "US",
            "telephone_number": "301-486-4690",
            "fax_number": "301-441-8809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Chestnut St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070833100",
            "country_code": "US",
            "telephone_number": "301-486-4690",
            "fax_number": "301-441-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARMA",
        "first_name": "SHUBHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA07029400",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "002058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027081",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.