Active NPI
Varaha Ravi Dasari, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1710499405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040080
- Practice address
- 2256 2ND Ave FL 2
New York, NY 10029-2202 - Phone
- (212) 758-7777
- Fax
- (212) 758-7777
- NPI assigned
- Nov 2, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040080 | NY | Primary |
Addresses
Primary practice location
2256 2ND Ave FL 2
New York, NY 10029-2202
Mailing address
651 Academy St
New York, NY 10034-5003
Phone (718) 509-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040080 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bukhman MD PC | Current | Accepting new patients | |
| Amb Medical Services, P.C. | Past | Accepting new patients | |
| Org Medical PLLC | Past | Accepting new patients |
Locations
651 Academy St
New York, NY 10034
Phone (212) 569-2035
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1013025782
-
- Family Medicine Physician
- Hauppauge, NY
- NPI 1568534766
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1053583682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1710499405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 ACADEMY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100345003",
"telephone_number": "718-509-4949",
"fax_number": "718-509-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2256 2ND AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100292202",
"telephone_number": "212-758-7777",
"fax_number": "212-758-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASARI",
"first_name": "VARAHA",
"middle_name": "RAVI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.