| Benita Shaji Varghese, | |
|
223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | |
| (201) 447-8000 | |
| Not Available |
| Full Name | Benita Shaji Varghese |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 223 N Van Dien Ave, Ridgewood, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386209229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00897300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Hospital | Ridgewood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Physician Services Pc | 3577857333 | 509 |
| Entity Name | Valley Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Benita Shaji Varghese, 1 Garrett Ct, Chestnut Ridge, NY 10977-6739 Ph: (845) 352-8548 | Benita Shaji Varghese, 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 Ph: (201) 447-8000 |
Jennifer Polizzano, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8345 Fax: 201-447-8103 | |
Kelly Rumler, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Samantha Leigh Guillod, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Susan Bell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450 Phone: 201-612-1006 Fax: 201-612-1091 | |
Kimberly Michele Pryslak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Carly Samantha Fried, MSN, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450 Phone: 908-616-0871 | |
Mary Catherine Collins, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8371 |