Individual provider Active NPI

Emmanuel Ioannis Varkaris, M.D.

  • Nuclear Imaging & Therapy Physician
  • Northport, NY
National Provider Identifier
1215915657
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
225098 Issued in NY
Practice address
79 Middleville Rd
Northport, NY 11768-2200
Phone
(631) 261-4400
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 225098 NY
Nuclear Imaging & Therapy Physician 207UN0902X 225098 NY Primary

Addresses

Primary practice location

79 Middleville Rd
Northport, NY 11768-2200

Mailing address

563 Cedar Swamp Rd
Glen Head, NY 11545-2237
Phone (917) 567-6249

Other identifiers 1

IdentifierTypeStateIssuer
02547886MedicaidNY

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Imaging of Brooklyn, PC Nuclear Cardiology Past Accepting new patients
Doshi Diagnostic Imaging Services PC Past Accepting new patients
Spectrum Medical Imaging & Consulting Services, PC PastSince Apr 14, 2024 Accepting new patients
Meadows Nuclear Spect Imaging, PC Nuclear Cardiology Past Accepting new patients
Rockland Nuclear Spect Imaging, P.C. Nuclear Cardiology Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Nuclear Cardiology Past Accepting new patients
Nuclear Cardiac and Medical Imaging Services, PC Nuclear Medicine PastSince Jul 1, 2009 Accepting new patients
Forest Hills Nuclear Spect Imaging PC Nuclear Cardiology Past Accepting new patients
Cardiovascular Imaging of Brooklyn, PC Nuclear Cardiology Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1215915657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 CEDAR SWAMP RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452237",
            "telephone_number": "917-567-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARKARIS",
        "first_name": "EMMANUEL",
        "middle_name": "IOANNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "225098",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NY",
            "license": "225098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02547886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.