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Physician Compare National (NPI:1588820708)

HEALTHCARE PROVIDER: SEEMA NANDKISHOR VARMA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1588820708
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5496899460
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120910000013
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name VARMA
Individual professional last name
Provider First Name SEEMA
Individual professional first name
Provider Middle Name N
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty HEMATOLOGY/ONCOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name JFK MEDICAL GROUP PC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4385624162
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 12
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 111 JAMES ST
Group Practice or individual's line 1 address
City EDISON
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 088203967
Group Practice or individual's zip code (9 digits when available)
Phone Number 7324529700
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 310041
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 COMMUNITY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 310039
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 310108
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 JFK MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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