Manju Varghese, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

343566 Issued in NY

Practice address

33 Walt Whitman Rd Ste 100B
Huntington Station, NY 11746-3631

Phone

(631) 425-1000

NPI assigned

Sep 13, 2018

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Manju John Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bobby Chandok MD PLLC

  • Internal Medicine Physician
  • Huntington Station, NY
  • NPI 1396105730
  Medicare reassignment NPD
• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1700369949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 VETERANS MEMORIAL HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254343",
            "telephone_number": "631-858-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 100B",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463631",
            "telephone_number": "631-425-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "MANJU",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJU",
            "last_name": "JOHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah A Valenzuela, LCSW
• Jon Vandenburgh
• Vanessa Bedoya (Bedoya Eye Care)
• Patricia Varano
• Jessie Varghese, MD
• Julianne Marie Varolian, DPT
• Andrew Edward Vaughan, PH.D.
• Kaitlyn Veit, RN
• Karla Veliz
• Linda Vespoli-Matthews, RD

• Family Nurse Practitioner in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.