Active NPI
Daniel Varghese, RPA-C
- Physician Assistant
- Westbury, NY
National Provider Identifier
1174850119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008940
- Practice address
- 681 Sherman Court
Westbury, NY 11590 - Phone
- (516) 639-6369
- Fax
- (631) 598-4723
- NPI assigned
- Nov 12, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008940 | NY | Primary |
Addresses
Primary practice location
681 Sherman Court
Westbury, NY 11590
Mailing address
387 Vanderbilt Pkwy
Dix Hills, NY 11746-5820
Phone (516) 639-6369
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008940 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Catherine of Siena Medical Center | 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.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1245318609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1174850119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 VANDERBILT PKWY",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465820",
"telephone_number": "516-639-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 SHERMAN COURT",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-639-6369",
"fax_number": "631-598-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-12",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.