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

Tinchu Ruby Varghese

Individual provider Family Nurse Practitioner · NPI 1972440543

Tinchu Ruby Varghese is a Nurse Practitioner in Lakewood, New Jersey. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2026

Practice location Address checks out

1999 Cedarbridge Ave
Lakewood, NJ 08701-7048
Phone: (401) 585-9573
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP035559 (PA)

Record details

NPI number1972440543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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