Active NPI
Verghese George, M.D.
- Surgery of the Hand (Surgery) Physician
- Melville, NY
National Provider Identifier
1407952310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 148203
- Practice address
- 811 Walt Whitman Rd
Melville, NY 11747-2208 - Phone
- (631) 249-3000
- Fax
- (631) 249-1878
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 148203 | NY | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 148203 | NY | Primary |
Addresses
Primary practice location
811 Walt Whitman Rd
Melville, NY 11747-2208
Mailing address
811 Walt Whitman Rd
Melville, NY 11747-2208
Phone (631) 249-3000
Other practice location 1
340 Broadhollow Rd
Farmingdale, NY 11735-4807
Phone (631) 249-3000
Other practice location 2
134 S Central Ave
Valley Stream, NY 11580-5418
Phone (631) 249-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00841492 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148203 | NY | MD | Surgery of the Hand (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Past | Accepting new patients | |
| Lincon Medical and Mental Center | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
Interoperability endpoints
- vgeorge839416@nychhc.direct-ci.com
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Critical Access Hospital
- Bronx, NY
- NPI 1902979651
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1407952310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 WALT WHITMAN RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472208",
"telephone_number": "631-249-3000",
"fax_number": "631-249-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 WALT WHITMAN RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472208",
"telephone_number": "631-249-3000",
"fax_number": "631-249-1878"
}
],
"practiceLocations": [
{
"address_1": "340 Broadhollow Rd",
"address_purpose": "LOCATION",
"city": "Farmingdale",
"state": "NY",
"postal_code": "117354807",
"country_code": "US",
"telephone_number": "631-249-3000",
"fax_number": "631-249-1878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 S Central Ave",
"address_purpose": "LOCATION",
"city": "Valley Stream",
"state": "NY",
"postal_code": "115805418",
"country_code": "US",
"telephone_number": "631-249-3000",
"fax_number": "631-249-1878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "VERGHESE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "148203",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "NY",
"license": "148203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00841492",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.