Active NPI
Mini Varghese
- Family Nurse Practitioner
- Nanuet, NY
National Provider Identifier
1194375469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F344212-1
- Practice address
- 5 Trinity PL
Nanuet, NY 10954-1042 - Phone
- (914) 815-3110
- NPI assigned
- Sep 18, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F344212-1 | NY | Primary |
Addresses
Primary practice location
5 Trinity PL
Nanuet, NY 10954-1042
Mailing address
5 Trinity PL
Nanuet, NY 10954-1042
Phone (914) 815-3110
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409000401 | NY | Order and Referring Only - Nurse Practitioner | 7911336169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F344212-1 | NY | MD | Family Nurse Practitioner |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- miv9023@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1194375469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TRINITY PL",
"city": "NANUET",
"state": "NY",
"postal_code": "109541042",
"telephone_number": "914-815-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TRINITY PL",
"city": "NANUET",
"state": "NY",
"postal_code": "109541042",
"telephone_number": "914-815-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "MINI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F344212-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.