Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stanley Varghese, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245991280

Mr. Stanley Varghese, PA-C is a Physician Assistant in Plainview, New York. Qualified in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

888 Old Country Rd
Plainview, NY 11803-4914
Phone: (845) 300-7181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 67 Fairview Ct, Nanuet, NY 10954-3230 — (845) 300-7181

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245991280
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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