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MR. PRADOSH VARGHESE
NPI 1063927812
Physician Assistant - Medical in Nutley, NJ

Active since December 01, 2017PECOS EnrolledAccepts Medicare Assignment
124 WASHINGTON AVE, NUTLEY, NJ 07110(973) 695-0885(973) 771-3575 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2023, Dec 9, 2020, Jul 17, 2019 and 1 more (4 updates tracked since 2017).

About Mr. Pradosh Varghese NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PRADOSH VARGHESE (NPI 1063927812) is an individual medical provider in Nutley, New Jersey, licensed in New Jersey (25MP00459800) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2017).

NPPES Registry Identity

NPI1063927812
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PRADOSH VARGHESE
Location Address124 WASHINGTON AVENutley, NJ 07110-3502
Mailing Address7 Twinboro LnBergenfield, NJ 07621-1245 · (551) 497-8255
Phone(973) 695-0885
Fax(973) 771-3575
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2017
Enumeration DateDecember 1, 2017
Last NPPES UpdateJune 5, 20234 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1063927812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NJ · 25MP00459800
Also ListedPhysician AssistantTaxonomy 363A00000X
124 WASHINGTON AVE, Nutley, NJ 07110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Pradosh Varghese is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638419435
PECOS Enrollment IDI20190313002646
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NJ DOCTORS URGENT CARE LLC
Clinic/Center (Urgent Care)
124 WASHINGTON AVE
NUTLEY, NJ 07110
Essex County (973) 530-4362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradosh Varghese's NPI number?

The NPI number for Pradosh Varghese is 1063927812. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Pradosh Varghese located?

Pradosh Varghese practices at 124 Washington Ave, Nutley, NJ 07110. The listed phone number is (973) 695-0885.

What is Pradosh Varghese's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Pradosh Varghese enrolled in Medicare?

Yes. Pradosh Varghese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pradosh Varghese was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.