Jeny Varghese, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

281200 Issued in NY

Practice address

15352 76TH Rd Unit CF1
Flushing, NY 11367-3183

Phone

(718) 820-0120

Fax

(718) 820-0121

NPI assigned

Jul 11, 2011

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Avenue Nephrology and Medicine PCGroup PAC ID 0840430344, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Ridge Care Dialysis Dialysis facility, Ridgewood, NY, CCN 332822
• Genesis Services Dialysis facility, Ridgewood, NY, CCN 332734
• DaVita Elmcare Dialysis Dialysis facility, Elmhurst, NY, CCN 332860
• DaVita Queens Dialysis Center Dialysis facility, Jamaica, NY, CCN 332583
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: jvarghese43393@direct.davitaphysiciansolutions.com

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.

• Park Avenue Nephrology & Medicine, PC

  • Nephrology Physician
  • Flushing, NY
  • NPI 1225389331
  Medicare reassignment Care Compare group NPD
• Knickerbocker Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elmhurst, NY
  • NPI 1013642404
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knickerbocker Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elmhurst, NY
  • NPI 1013642404

  Dialysis facility

  Care Compare affiliation Name & address match
• Knickerbocker Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ridgewood, NY
  • NPI 1679192876

  Dialysis facility

  Care Compare affiliation Name & address match
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1831487974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E RAY RD STE B201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258720",
            "telephone_number": "480-935-3991",
            "fax_number": "800-272-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15352 76TH RD UNIT CF1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673183",
            "telephone_number": "718-820-0120",
            "fax_number": "718-820-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7108 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113654105",
            "country_code": "US",
            "telephone_number": "718-820-0120",
            "fax_number": "718-820-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JENY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "281200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Loon DME USA Inc
• Jose Carlos Vanegas Perez, MD
• Derith Ellen Vanetten, LMHC
• Vantage Medical Group
• Emily Justine Vargas
• Megan Anna Varghese
• Justin Edward Miranda Varias, DO
• Varinder Singh, Crna P.C.
• Eldho Vettiakunnel Varkey, R.PH
• Mallory Lynne Varrone, MA, CCC-SLP

• Nephrology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
• 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.

Verify at the official NPI Registry.