Active NPI
Roy Varghese, GRNA
- Certified Registered Nurse Anesthetist
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 22 547930
- Practice address
- 925 Bryant Ave
New Hyde Park, NY 11040-3852 - Phone
- (516) 554-6169
- NPI assigned
- Nov 8, 2008
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 22 547930 | NY | Primary |
Addresses
Primary practice location
925 Bryant Ave
New Hyde Park, NY 11040-3852
Mailing address
925 Bryant Ave
New Hyde Park, NY 11040-3852
Phone (516) 554-6169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 627-0334
1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 627-6624
Hospital & facility affiliations
- St Francis Hospital - the Heart Center
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22 547930 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Cardiovascular Anesthesiologists, P.C. | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| South Bay Anesthes Assoc., LLP | Past | Accepting new patients |
Locations
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Roslyn, NY
- NPI 1801834411
-
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1871548636
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226102400000",
"number": "1649424334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 BRYANT AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403852",
"telephone_number": "516-554-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BRYANT AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403852",
"telephone_number": "516-554-6169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "ROY",
"credential": "GRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-08",
"last_updated": "2008-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "22 547930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.