Individual provider Active NPI

Sherin Varkey, M.D.

  • Primary Care Clinic/Center
  • Catskill, NY
National Provider Identifier
1154355303
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
240852 Issued in NY
Practice address
102 Jefferson HTS
Suite a 102
Catskill, NY 12414-1248
Phone
(518) 626-5240
Fax
(518) 943-7289
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 240852 NY Primary

Addresses

Primary practice location

102 Jefferson HTS
Suite a 102
Catskill, NY 12414-1248

Mailing address

312 Brookford Rd
Syracuse, NY 13224-1704
Phone (845) 701-9419

Other identifiers 1

IdentifierTypeStateIssuer
02782396MedicaidNY

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
I20150824000416 NY Order and Referring Only - Family PracticePractitioner - Family Practice 2567467368

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1154355303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BROOKFORD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241704",
            "telephone_number": "845-701-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JEFFERSON HTS",
            "address_2": "SUITE A 102",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141248",
            "telephone_number": "518-626-5240",
            "fax_number": "518-943-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARKEY",
        "first_name": "SHERIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "240852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02782396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.