Individual provider Active NPI

Victoria Mehari Sebho

  • Internal Medicine Physician
  • Cliffwood, NJ
National Provider Identifier
1871224717
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12699000 Issued in NJ
Practice address
100 Glassworks Blvd
Cliffwood, NJ 07721-1348
Phone
(312) 882-5231
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12699000 NJ Primary

Addresses

Primary practice location

100 Glassworks Blvd
Cliffwood, NJ 07721-1348

Mailing address

3328 Parkford Manor Ter # a
Silver Spring, MD 20904-6155
Phone (312) 882-5231

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912001647 NJ Practitioner - Internal Medicine 1759633746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Acute Care Specialists Professional CorporationGroup PAC ID 3678742269, 55 clinicians

Practice addresses (Care Compare)

901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Centrastate Medical Center, Inc Past Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1871224717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 PARKFORD MANOR TER # A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046155",
            "telephone_number": "312-882-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLASSWORKS BLVD",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211348",
            "telephone_number": "312-882-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBHO",
        "first_name": "VICTORIA",
        "middle_name": "MEHARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12699000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffwood, NJ

Sources for this page

Verify at the official NPI Registry.