Mariamma Varghese

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

285890 Issued in NY

Practice address

496 Western Hwy
Blauvelt, NY 10913-2000

Phone

(845) 359-3373

NPI assigned

Feb 27, 2014

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

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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1790100774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ZABELLA DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 WESTERN HWY",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109132000",
            "telephone_number": "845-359-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "MARIAMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "285890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vito Anthony Tomanelli, L.M.S.W.
• Tracey Polizzi, Psychology PH.D., P.C.
• Deborah J Traynor, COTA
• Karl Tubo
• United Sleep Diagnostics of Rockland LLC
• Victory Homecare Service
• Village Health Family NP PLLC
• Charlene Von Ohlen, PH.D.
• Kimberly Mary Warek
• Samantha Wood, LMSW

• Licensed Practical Nurse in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.