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

Individual provider Medical Physician Assistant · NPI 1306494133

Roshan T. Varughese, PA-C is a Physician Assistant in Stony Brook, New York. Qualified in 2019, 7 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
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

101 Nicolls Rd Dept OF
Stony Brook, NY 11794-0001
Phone: (516) 708-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Nicolls Rd, Stony Brook, NY 11794-0001 — (631) 444-1665

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1306494133
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESOctober 23, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stony Brook