NPIMap

Individual provider Active NPI

Ajay Medavaram Varma, M.B. CH.B

  • Interventional Pain Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1841482106
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08418300 Issued in NJ
Practice address
2124 Route 35
Holmdel Medical Center
Holmdel, NJ 07733-1084
Phone
(732) 788-0349
NPI assigned
Aug 10, 2007
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 245383 NY
Anesthesiology Physician 207L00000X 25MA08418300 NJ
Interventional Pain Medicine Physician 208VP0014X 245383 NY
Interventional Pain Medicine Physician 208VP0014X 25MA08418300 NJ Primary

Addresses

Primary practice location

2124 Route 35
Holmdel Medical Center
Holmdel, NJ 07733-1084

Mailing address

PO Box 548
Holmdel, NJ 07733-0548
Phone (212) 217-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000301 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1951470152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gramercy Pain Center LLCGroup PAC ID 7618161654, 2 clinicians

Practice addresses (Care Compare)

2124 Route 35
Holmdel Medical Center
Holmdel, NJ 07733-1084

2124 Rte
Suite 35
Holmdel, NJ 07733-1084
Phone (732) 788-0349

465 Molina Boulevard
Suite 2
Elmwood Park, NJ 07407-2113
Phone (732) 788-0349

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08418300NJMDAnesthesiology Physician
245383NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Physical Medicine LLC CurrentSince Mar 24, 2022 Accepting new patients
Specialty Surgery of Middletown, LLC CurrentSince Jul 15, 2019 Accepting new patients
NJ Anesthesia Associates LLC Anesthesiology CurrentSince Oct 3, 2012 Accepting new patients
Gramercy Pain Center LLC Interventional Pain Medicine CurrentSince Jul 13, 2010 Accepting new patients
Gramercy Anesthesia Services, PC Anesthesiology PastSince Mar 7, 2011 Accepting new patients
KS Medical, PC PastSince Oct 30, 2014 Accepting new patients
Miriam Kanter MD PC Past Accepting new patients
Bergen Anesthesia Associates PA Past Accepting new patients
MBD Care LLC Past Accepting new patients

Locations

2124 State Route 35
Holmdel, NJ 07733
Phone (732) 671-7277

35 South St
Holmdel, NJ 07733
Phone (732) 706-5437

1270 State Route 35
Ste 3
Middletown, NJ 07748
Phone (732) 671-5555

14 Cherry Tree Farm Rd
Middletown, NJ 07748
Phone (732) 671-3535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBEEBD/Endpoint/IBEEBD

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1841482106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330548",
            "telephone_number": "212-217-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 ROUTE 35",
            "address_2": "HOLMDEL MEDICAL CENTER",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331084",
            "telephone_number": "732-788-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARMA",
        "first_name": "AJAY",
        "middle_name": "MEDAVARAM",
        "name_prefix": "Dr.",
        "credential": "M.B. CH.B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "245383",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08418300",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "245383",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08418300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.