Active NPI
Sherly Shaji Varghese
- Adult Health Nurse Practitioner
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F309569
- Practice address
- 541 Beech St
New Hyde Park, NY 11040-3825 - Phone
- (516) 326-7525
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F309569 | NY | Primary |
Addresses
Primary practice location
541 Beech St
New Hyde Park, NY 11040-3825
Mailing address
541 Beech St
New Hyde Park, NY 11040-3825
Phone (646) 915-6939
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NewHydePark | Health Information Exchange (HIE) | |
| CONNECT URL | NewHydePark | Health Information Exchange (HIE) | |
| CONNECT URL | NewHydePark | Health Information Exchange (HIE) |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F309569 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| Lefferts Medical Associates PC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Instant Medical Care, PC | Past | Accepting new patients |
Locations
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651
26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434
27005 76th Ave
North New Hyde Pk, NY 11040
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- svarghese4169@direct.medisys.org
Organizations & group practices 8
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.
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1700922150
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Urgent Care Clinic/Center
- Massapequa, NY
- NPI 1548535271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1043847072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 BEECH ST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403825",
"telephone_number": "646-915-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 BEECH ST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403825",
"telephone_number": "516-326-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "SHERLY",
"middle_name": "SHAJI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F309569",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NewHydePark",
"affiliation": "N",
"endpointDescription": "home",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "541 Beech St",
"city": "New Hyde Park",
"state": "NY",
"country_code": "US",
"postal_code": "110403825",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NewHydePark",
"affiliation": "N",
"endpointDescription": "home",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "541 Beech St",
"city": "New Hyde Park",
"state": "NY",
"country_code": "US",
"postal_code": "110403825",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NewHydePark",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "541 Beech St",
"city": "New Hyde Park",
"state": "NY",
"country_code": "US",
"postal_code": "110403825",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.