Annie Varghese, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00733400 Issued in NJ

Practice address

245 Engle St
Englewood, NJ 07631-2465

Phone

(201) 569-5330

Fax

(201) 871-9722

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 25 PCGroup PAC ID 3072842442, 4 clinicians

Ritu Suri MD, LLCGroup PAC ID 3779585567, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
• Valley Hospital Hospital, Paramus, NJ, CCN 310012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pai Participant 25 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Phillipsburg, NJ
  • NPI 1568028314
  Medicare reassignment Care Compare group NPD
• Ritu Suri MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tenafly, NJ
  • NPI 1972656353
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation
• Valley Home Care, Inc

  • Home Health Agency
  • Paramus, NJ
  • NPI 1174588925
  Care Compare affiliation

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649708116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 REVERE DR",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281729",
            "telephone_number": "201-569-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312465",
            "telephone_number": "201-569-5330",
            "fax_number": "201-871-9722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Revere Dr",
            "address_purpose": "LOCATION",
            "city": "Dumont",
            "state": "NJ",
            "postal_code": "076281729",
            "country_code": "US",
            "telephone_number": "201-400-7752",
            "fax_number": "201-400-7752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "ANNIE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00733400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vantage Health System
• Vantage Health System, Inc
• Vantage Health System, Inc.
• Michael Vardy, M.D.
• Wendy Vargas
• Karishma D Vaswani
• VDH Worldwide LLC
• Frances Vela-Cantos, NP
• Joseph Veras, CRNA
• Catherine Lynn Verhulst, MS, LCSW

• Gerontology Nurse Practitioner in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.