Individual provider Active NPI

Beena Varughese

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1417402355
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307786-1 Issued in NY
Practice address
60 Paul Ave
New Hyde Park, NY 11040-3129
Phone
(516) 526-5288
NPI assigned
Aug 21, 2016
Last updated
Aug 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307786-1 NY Primary

Addresses

Primary practice location

60 Paul Ave
New Hyde Park, NY 11040-3129

Mailing address

60 Paul Ave
New Hyde Park, NY 11040-3129
Phone (516) 526-5288

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202001965 NY Practitioner - Nurse Practitioner 3870873110 Reassigns benefits to 1 organization
Practice locations: Hollis, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ion Oltean Physician PCGroup PAC ID 6406990860, 8 clinicians

Practice addresses (Care Compare)

3515 Parsons Blvd
Flushing, NY 11354-4236
Phone (718) 961-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
88.19
Improvement activities
40
Cost
64.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F307786-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ion Oltean Physician PC CurrentSince Aug 4, 2019 Accepting new patients

Locations

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 291-3700

3515 Parsons Blvd
Flushing, NY 11354
Phone (718) 961-3500

3617 Parsons Blvd
Flushing, NY 11354
Phone (718) 888-5200

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1417402355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PAUL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403129",
            "telephone_number": "516-526-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PAUL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403129",
            "telephone_number": "516-526-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "BEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307786-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.