Individual provider Active NPI

Christopher John Varughese, M.D.

  • Interventional Cardiology Physician
  • Staten Island, NY
National Provider Identifier
1013247915
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
255723 Issued in NY
Practice address
2384 Victory Blvd
Staten Island, NY 10314-6616
Phone
(718) 727-7546
NPI assigned
Dec 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 255723 NY
Interventional Cardiology Physician 207RI0011X 255723 NY Primary

Addresses

Primary practice location

2384 Victory Blvd
Staten Island, NY 10314-6616

Mailing address

2384 Victory Blvd
Staten Island, NY 10314-6616
Phone (718) 727-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013000153 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931329042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Howard University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

101 Tyrellan Ave
Staten Island, NY 10309-2624

1110 S Ave
Staten Island, NY 10314-3403
Phone (718) 226-4645

1111 Marcus Ave
New Hyde Park, NY 11042-1034

1460 Victory Blvd
Staten Island, NY 10301-3914
Phone (718) 273-7059

1460 Victory Blvd D
Staten Island, NY 10301-3914
Phone (718) 273-7059

2384 Victory Blvd
Staten Island, NY 10314-6616
Phone (718) 727-7546

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6902

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980

972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-4100

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255723NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Mar 1, 2021 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mount Sinai Hospital CurrentSince Jul 7, 2014 Accepting new patients
Advantagecare Physicians PC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
The Mount Sinai Hospital CurrentSince Jul 7, 2014 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

4207 30th Ave
Long Island City, NY 11103
Phone (718) 204-6667

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

300 Community Dr
Plandome, NY 11030

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: cvarughese24592@northwell.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1013247915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146616",
            "telephone_number": "718-727-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146616",
            "telephone_number": "718-727-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "255723",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "255723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.