Active NPI
Moncy Cherian Varghese, MPT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1134664014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043498
- Practice address
- 318 Seguine Ave
Staten Island, NY 10309-3941 - Phone
- (646) 725-8245
- NPI assigned
- Dec 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 010751-1 | NY | |
| Physical Therapist | 225100000X | 043498 | NY | Primary |
Addresses
Primary practice location
318 Seguine Ave
Staten Island, NY 10309-3941
Mailing address
231 Merrill Ave FL 1
Staten Island, NY 10314-3239
Phone (646) 725-8245
Other practice location 1
261 Weed Ave
Staten Island, NY 10306-4709
Phone (646) 725-8245
Other practice location 2
1835 Richmond Rd
Staten Island, NY 10306-2560
Phone (646) 725-8245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043498 | NY | MD | Physical Therapist |
| 010751-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1134664014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 MERRILL AVE FL 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143239",
"telephone_number": "646-725-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 SEGUINE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093941",
"telephone_number": "646-725-8245"
}
],
"practiceLocations": [
{
"address_1": "261 Weed Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103064709",
"country_code": "US",
"telephone_number": "646-725-8245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1835 Richmond Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103062560",
"country_code": "US",
"telephone_number": "646-725-8245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGHESE",
"first_name": "MONCY",
"middle_name": "CHERIAN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-30",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "010751-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.