Active NPI
Blessy Chalikottackal Varghese, MS, AGPCNP
- Adult Health Nurse Practitioner
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F308279-1
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-2211
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F308279-1 | NY | Primary |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
617 Albert St
New Hyde Park, NY 11040-4271
Phone (516) 857-3449
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 325-7520
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308279-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Medical Services, P.C. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| 210 MJD Medical, PLLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
228 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 471-5554
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
625 Rockaway Tpke
Ste 3
Lawrence, NY 11559
Phone (516) 871-3003
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
211 Broadway
Ste 205
Lynbrook, NY 11563
Phone (929) 219-0990
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
10234 Atlantic Ave
Ozone Park, NY 11416
Phone (347) 480-5287
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- bvarghese2280567@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
- Multi-Specialty Clinic/Center
- Far Rockaway, NY
- NPI 1750712220
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1881117653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 ALBERT ST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404271",
"telephone_number": "516-857-3449",
"fax_number": "516-747-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "BLESSY",
"middle_name": "CHALIKOTTACKAL",
"credential": "MS, AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F308279-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.