Tony Varghese MD PA., LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

D0064559 Issued in MD

Legal business name

TONY VARGHESE MD PA., LLC

Practice address

19 Fontana LN
Ste.208
Rosedale, MD 21237-3047

Phone

(410) 574-4720

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Carla Fleet

Title

Office Manager

Phone

(410) 383-2072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Varghese, MD

  • Internal Medicine Physician
  • Baltimore, ME
  • NPI 1992865448

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1649600222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FONTANA LN",
            "address_2": "STE.208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373047",
            "telephone_number": "410-574-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FONTANA LN",
            "address_2": "STE.208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373047",
            "telephone_number": "410-574-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY VARGHESE MD PA., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "FLEET",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-383-2072"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0064559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Behavioral Health, LLC
• Alyssa Tillman, LGPC
• Katherine Todd
• Shomari Todd
• Angelina Flora Tolen, LGPC
• Jadeon Torrence
• Nicholas Tower
• Olubunmi Toye
• Shawn Tran, PHARMACIST
• Ricardo Tranquille

• Geriatric Medicine (Internal Medicine) Physician in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.