| Mr Pradosh Varghese, | |
|
124 Washington Ave, Nutley, NJ 07110-3502 | |
| (973) 695-0885 | |
| (973) 771-3575 |
| Full Name | Mr Pradosh Varghese |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 124 Washington Ave, Nutley, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063927812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 25MP00459800 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skr Medical Advisors | 7315185816 | 18 |
| The Medical Group Of New Jersey | 4082979166 | 299 |
| Entity Name | Drx Paramus, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316272685 PECOS PAC ID: 2466589585 Enrollment ID: O20100422000051 |
| Entity Name | Skr Medical Advisors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184971558 PECOS PAC ID: 7315185816 Enrollment ID: O20130522000451 |
| Entity Name | The Radiology Group of New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174010540 PECOS PAC ID: 4082979166 Enrollment ID: O20180518001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Pradosh Varghese, 7 Twinboro Ln, Bergenfield, NJ 07621-1245 Ph: (551) 497-8255 | Mr Pradosh Varghese, 124 Washington Ave, Nutley, NJ 07110-3502 Ph: (973) 695-0885 |
Kaitlyn Mary Mcternan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 Franklin Ave, Nutley, NJ 07110 Phone: 973-773-9250 |
Martina Binumon John, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 123 Metro Blvd, Nutley, NJ 07110 Phone: 973-486-5982 |
Ms. Massiel Delacruz, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 359 Centre St, Suite1, Nutley, NJ 07110 Phone: 973-667-1500 |
Mrs. Bhoomi D Thakkar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 88 Park Ave Ste 2a, Nutley, NJ 07110 Phone: 973-571-2121 |
Megan Grace Holt, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Metro Blvd, Nutley, NJ 07110 Phone: 973-761-9000 |
Madison Hope Debbie, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 123 Metro Blvd, Nutley, NJ 07110 Phone: 973-761-9000 |
Taylor Demartino, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 123 Metro Blvd, Nutley, NJ 07110 Phone: 973-761-9000 |