Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Tappan Medical Group Dept of Internal Medicine, LLC

Organization Internal Medicine Physician · NPI 1083622799

Old Tappan Medical Group Dept of Internal Medicine, LLC is an Internal Medicine Physician in Old Tappan, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 Old Tappan Rd
Old Tappan, NJ 07675-7000
Phone: (201) 666-1000
Fax: (201) 666-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1083622799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Varhol — President · (201) 666-1000
NPI enumeratedAugust 4, 2006
Last updated in NPPESJune 29, 2010
Mailing address215 Old Tappan Rd, Old Tappan, NJ 07675-7000

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