Old Tappan Medical Group, PA
Pediatrics in Old Tappan, New Jersey
1912916693- Practice location
- 215 Old Tappan RD, Old Tappan, NJ 07675-7000
- Phone
- 201-666-1000
- Fax
- 201-666-7610
- Last updated
- September 11, 2025
Old Tappan Medical Group, PA is a healthcare organization based in Old Tappan, NJ. Old Tappan Medical Group, PA practices in Old Tappan, NJ. The NPI Number for Old Tappan Medical Group, PA is 1912916693. The current practice location address for Old Tappan Medical Group, PA is 215 Old Tappan RD, Old Tappan, NJ 07675-7000 and can be reached out via phone at 201-666-1000 and via fax at 201-666-7610.
Provider Profile Details
- NPI Number
- 1912916693
- Provider Name
- Old Tappan Medical Group, PA
- Provider Entity Type
- Organization
- Address
- 215 Old Tappan RD, Old Tappan, NJ 07675-7000
- Phone Number
- 201-666-1000
- Fax Number
- 201-666-7610
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Stephen G Varhol, MD · President · 201-666-1000
- Provider Enumeration Date
- August 5, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 215 Old Tappan RD
Old Tappan, NJ 07675-7000 - City
- Old Tappan
- State
- New Jersey
- Zip
- 07675-7000
- Phone Number
- 201-666-1000
- Fax Number
- 201-666-7610
Provider Business Mailing Address Details
- Address
- 215 Old Tappan RD
Old Tappan, NJ 07675-7000 - City
- Old Tappan
- State
- NJ
- Zip
- 07675-7000
- Phone Number
- 201-666-1000
- Fax Number
- 201-666-7610
License Information
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Old Tappan, NJ
View all Pediatrics providers in Old Tappan →Frequently Asked Questions
What is the NPI number of Old Tappan Medical Group, PA?
The NPI number of Old Tappan Medical Group, PA is 1912916693. It was assigned on August 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Old Tappan Medical Group, PA?
Old Tappan Medical Group, PA is registered under the primary taxonomy Pediatrics (code 208000000X).
Where does Old Tappan Medical Group, PA practice?
The practice location is 215 Old Tappan RD, Old Tappan, NJ 07675-7000. The office can be reached at 201-666-1000 (phone) or 201-666-7610 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912916693 directly on the NPPES registry website.