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

Old Tappan Medical Group, PA

Organization Internal Medicine Physician · NPI 1912916693

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

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

215 Old Tappan Rd
Old Tappan, NJ 07675-7000
Phone: (201) 666-1000
Fax: (201) 666-7610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1912916693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Varhol — President · (201) 666-1000
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address215 Old Tappan Rd, Old Tappan, NJ 07675-7000

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