OLD TAPPAN MEDICAL GROUP, PA
NPI 1912916693
Pediatrics in Old Tappan, NJ

Q: What is Old Tappan Medical Group, PA's NPI number?

The NPI number for Old Tappan Medical Group, PA is 1912916693. It was assigned to this organization in the NPPES registry on August 5, 2006.

Q: What is Old Tappan Medical Group, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 05, 2006

215 OLD TAPPAN RD, OLD TAPPAN, NJ 07675(201) 666-1000(201) 666-7610 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Old Tappan Medical Group, Pa NPPES

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

OLD TAPPAN MEDICAL GROUP, PA (NPI 1912916693) is a healthcare organization registered as a pediatrics in Old Tappan, New Jersey and active in the NPI registry since August 2006. The organization lists Stephen G Varhol, President, as its authorized official.

NPPES Registry Identity

NPI1912916693

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameOLD TAPPAN MEDICAL GROUP, PA

Location Address215 OLD TAPPAN RDOld Tappan, NJ 07675-7000

Mailing Address215 Old Tappan RdOld Tappan, NJ 07675-7000 · (201) 666-1000 · Fax (201) 666-7610

Phone(201) 666-1000

Fax(201) 666-7610

Organization SubpartNo

Authorized OfficialStephen G VarholPresident · (201) 666-1000

Enumeration DateAugust 5, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1912916693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X

Other Identifiers 3

Other3695Aetna Capitation Number

Medicaid2672901NJ

Other087710Aetna Capitation Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

MADISON PHYSICAL THERAPY LIMITED PARTNERSHIP

Physical Therapist

215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675

Bergen County (201) 722-8887

OLD TAPPAN MEDICAL GROUP DEPT OF INTERNAL MEDICINE, LLC

Internal Medicine

215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675

Bergen County (201) 666-1000

CURALTA MEDICAL LLC

Podiatrist

215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675

Bergen County (201) 930-9090

OLD TAPPAN PEDIATRICS

Pediatrics

215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675

Bergen County (201) 666-1000

MR. JAMES EDWARD BUIRKLE MD

Internal Medicine

215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675

Bergen County (201) 666-1000

DR. SHELDON RUDNICKI DDS

Dentist

215 OLD TAPPAN RD, 2ND FLOOR
OLD TAPPAN, NJ 07675

Bergen County (201) 666-8811

STEVEN CAPITANI PT

Physical Therapist

215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675

Bergen County (201) 722-8887

DR. SPERO EVAN DEMOLEAS D.P.M.

Podiatrist (Foot & Ankle Surgery)

215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675

Bergen County (201) 930-9090

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 Old Tappan Medical Group, PA's NPI number?

The NPI number for Old Tappan Medical Group, PA is 1912916693. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Old Tappan Medical Group, PA located?

Old Tappan Medical Group, PA is located at 215 Old Tappan Rd, Old Tappan, NJ 07675. The listed phone number is (201) 666-1000.

What is Old Tappan Medical Group, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Old Tappan Medical Group, PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.