VARUGHESE CHACKO MEDICAL PC (NPI# 1083929053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083929053 |
| Entity Type | Organization |
| Organization Name | VARUGHESE CHACKO MEDICAL PC |
| Practice Address |
1575 Hillside Ave Suite 100 New Hyde Park NY 11040-2501 |
| Mailing Address |
54 Knolls Dr N Manhasset Hills NY 11040-1143 |
| Practice Telephone | 5164175663 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Authorized Official Name | VARUGHESE CHACKO (OWNER) |
| Authorized Official Telephone | 5164175663 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1575 HILLSIDE AVE SUITE 100 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741641 | Natalia Sudakov | Anesthesiology | 1575 Hillside Ave, Ste 100, New Hyde Park, NY 11040-2501 | 2005-06-22 |
| 1528589389 | I Care Medical Pllc | Pediatrics | 1575 Hillside Ave, 302, New Hyde Park, NY 11040-2521 | 2017-07-02 |
| 1144779620 | Asadur Miah Physician PC | Internal Medicine | 1575 Hillside Ave, Suite 201, New Hyde Park, NY 11040-2521 | 2016-09-26 |
| 1275976409 | Carl Francis Pagano | Dentist | 1575 Hillside Ave, Suite 300, New Hyde Park, NY 11040-2521 | 2013-04-08 |
| 1043556590 | Li Queens Medical Care Pllc | Anesthesiology | 1575 Hillside Ave, 201, New Hyde Park, NY 11040-2521 | 2013-01-02 |
| 1356601330 | Long Island Biofeedback and Hypnosis Inc. | Counselor | 1575 Hillside Ave, Suite 100, New Hyde Park, NY 11040-2521 | 2012-05-23 |
| 1306110374 | Neil Schaul Md LLC | Psychiatry & Neurology | 1575 Hillside Ave, Suite 100, New Hyde Park, NY 11040-2521 | 2012-03-08 |
| 1720350119 | New Hyde Park Pediatrics | Pediatrics | 1575 Hillside Ave, Ste 307, New Hyde Park, NY 11040-2521 | 2012-02-01 |
| 1366714875 | Paul Lerner Md PC | Psychiatry & Neurology | 1575 Hillside Ave, Suite 100, New Hyde Park, NY 11040-2521 | 2012-01-30 |
| 1528337383 | Krishana K. Jajoo, Physician, P.C. | Internal Medicine | 1575 Hillside Ave, Suite:105, New Hyde Park, NY 11040-2501 | 2011-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1215579289 | Samantha S Maloney | Internal Medicine | 3003 New Hyde Park Rd Ste 411, New Hyde Park, NY 11042-1214 | 2019-10-11 |
| 1124173877 | Rohan Bhansali | Internal Medicine | Lijmc Dept of Medicine Div of Cardiology, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2007-01-24 |
| 1538229521 | Stacey Rosen | Internal Medicine | Lijmc Dept of Medicine Cardiology, 270 05 76 Avenue, New Hyde Park, NY 11042 | 2006-12-11 |
| 1598836587 | Angela Romano-adesman | Internal Medicine | Sch-pediatric Cardiology, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-13 |
| 1588734933 | Sandeep Jauhar | Internal Medicine | Lijmc-dept of Medicine, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1376613729 | Joseph Diamond | Internal Medicine | Lijmc- Division of Cardiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1477635084 | Andrew M Grunwald | Internal Medicine | 3003 New Hyde Park Road #406, New Hyde Park, NY 11042 | 2006-10-20 |
| 1023052578 | Leonardo N Saulle | Internal Medicine | 2001 Marcus Ave Ste E249, New Hyde Park, NY 11042-1000 | 2006-06-15 |
| 1306814975 | Robert Evan Struhl | Internal Medicine | 410 Lakeville Rd Ste 209, New Hyde Park, NY 11042-1122 | 2006-03-09 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.