Individual provider Active NPI

P Leo Varriale, MD

  • Specialist
  • Garden City, NY
National Provider Identifier
1013907146
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
142866 Issued in NY
Practice address
601 Franklin Ave
Suite 215
Garden City, NY 11530-5795
Phone
(516) 248-1314
Fax
(516) 873-6623
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 142866 NY Primary

Addresses

Primary practice location

601 Franklin Ave
Suite 215
Garden City, NY 11530-5795

Mailing address

601 Franklin Ave
Suite 215
Garden City, NY 11530-5795
Phone (516) 248-1314

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
I20050126001151 NY Practitioner - Orthopedic Surgery 7214987353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142866NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Winthrop Community Medical Affiliates PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1013907146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE",
            "address_2": "SUITE 215",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305795",
            "telephone_number": "516-248-1314",
            "fax_number": "516-873-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE",
            "address_2": "SUITE 215",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305795",
            "telephone_number": "516-248-1314",
            "fax_number": "516-873-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARRIALE",
        "first_name": "P",
        "middle_name": "LEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "142866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.