Biju Mathew Varghese, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006392 Issued in NY

Practice address

454 Linda Dr
East Meadow, NY 11554-2912

Phone

(516) 384-7150

NPI assigned

Jun 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1649896887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LINDA DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542912",
            "telephone_number": "516-384-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 LINDA DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542912",
            "telephone_number": "516-384-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "BIJU",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Valdina, LPN
• Carlos Cesar Valladares
• Rafael E Valle-Salinas, MD
• Renee Vardouniotis, M.A., CCC-SLP
• Anila Varghese, PHARM D.
• Lauren A Varriale, MS OTR/L
• Kelly Varrichio, MPT
• Vascular Disease and Diagnostic Prevention Inc
• Andrea Lauren Vazquez, PSYD
• Swarna Veeramani, DO

• Physical Therapy Assistant in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.