| Varun Bhatia Corp | |
|
1311 Durham Ave South Plainfield NJ 07080-2309 | |
| (201) 693-5373 | |
| (425) 940-0505 |
| Full Name | Varun Bhatia Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1311 Durham Ave, South Plainfield, New Jersey |
| Authorized Official Name and Position | Varun Bhatia (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 2016935373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Varun Bhatia Corp 2633 Edward Stec Blvd Edison NJ 08837-7011 Ph: (201) 693-5373 | Varun Bhatia Corp 1311 Durham Ave South Plainfield NJ 07080-2309 Ph: (201) 693-5373 |
| NPI Number | 1134857253 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 12/28/2022 |
| Medicare PECOS PAC ID | 3173909942 |
|---|---|
| Medicare Enrollment ID | O20220930002162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134857253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
| Provider Name | Susan Meyeno Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926697 PECOS PAC ID: 6608165543 Enrollment ID: I20160517001687 |
| Provider Name | Varun K Bhatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255855995 PECOS PAC ID: 7113345646 Enrollment ID: I20200916000793 |
| Provider Name | Lauren K Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376140905 PECOS PAC ID: 8921413097 Enrollment ID: I20210223001826 |
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