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

Mr. Pradosh Varghese

Individual provider Physician Assistant · NPI 1063927812

Mr. Pradosh Varghese is a Physician Assistant in Nutley, New Jersey. Graduated from Jefferson Medical College of Thomas Jefferson University in 2017, 9 years ago. Practices with Skr Medical Advisors, an 18-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NJ
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

124 Washington Ave
Nutley, NJ 07110-3502
Phone: (973) 695-0885
Fax: (973) 771-3575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00459800 (NJ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1063927812
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 1, 2017
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address7 Twinboro Ln, Bergenfield, NJ 07621-1245

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Skr Medical Advisors — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Nutley