Katherine Varchenko, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI24120 Issued in NJ

Practice address

804 W Park Ave
BLD B Suite 2G
Ocean, NJ 07712-7272

Phone

(732) 695-3202

Fax

(732) 695-3703

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315699200000",
    "number": "1710115043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 DAVISON AVE",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W PARK AVE",
            "address_2": "BLD B SUITE 2G",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127272",
            "telephone_number": "732-695-3202",
            "fax_number": "732-695-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARCHENKO",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI24120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmine Anthony Vaccaro, M.D.
• Jill Ann Vacchiano, LCSW
• John Vaclavik, MD
• Value Life Counseling
• Vanessa Karatzia-Pytel, LLC
• Arthur P Vasen, MD
• Gwen Marlatt Vela, LCSW
• Tyler J Verdoni, DPM
• Vicki Raab MD LLC
• Victoria Shumard Psychotherapy LLC

• General Practice Dentistry in Ocean, NJ
• Providers in Ocean, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.