Active NPI
Varghese John, RPA-C
- Physician Assistant
- Jamaica, NY
National Provider Identifier
1194035857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 014231
- Practice address
- 82-70 164TH St
Jamaica, NY 11432 - Phone
- (718) 883-3070
- NPI assigned
- Oct 15, 2010
- 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 | 014231 | NY | Primary |
Addresses
Primary practice location
82-70 164TH St
Jamaica, NY 11432
Mailing address
7942 257TH St
Floral Park, NY 11004-1229
Phone (646) 996-5361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014231 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1194035857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7942 257TH ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110041229",
"telephone_number": "646-996-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82-70 164TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-883-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "VARGHESE",
"name_prefix": "Mr.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.