Active NPI
Mathew Saju Varghese, MD
- Pediatrics Physician
- New York, NY
National Provider Identifier
1396208351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 318802
- Practice address
- 14 W 118TH St
New York, NY 10026-1904 - Phone
- (212) 369-8339
- NPI assigned
- Apr 8, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 318802 | NY | Primary |
Addresses
Primary practice location
14 W 118TH St
New York, NY 10026-1904
Mailing address
16064 19TH Ave
Whitestone, NY 11357-3337
Phone (718) 309-9067
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
910 E 172ND St 3Rd Floor
Bronx Health Services
Bronx, NY 10460-4920
Phone (917) 816-8841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Aid Society | Past | Accepting new patients | |
| The Children'S Aid Society | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bronx, NY
- NPI 1730124025
-
- Voluntary or Charitable Agency
- New York, NY
- NPI 1124299763
-
- Voluntary or Charitable Agency
- Brooklyn, NY
- NPI 1467513564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1396208351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16064 19TH AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573337",
"telephone_number": "718-309-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 W 118TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261904",
"telephone_number": "212-369-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "MATHEW",
"middle_name": "SAJU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "318802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.