Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Varghese Shelly

Individual provider Administrator Registered Nurse · NPI 1124749072

Varghese Shelly is an Administrator Registered Nurse in Dix Hills, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

197 Half Hollow Rd
Dix Hills, NY 11746-5859
Phone: (631) 370-1693
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 779253 (NY)

Record details

NPI number1124749072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address197 Half Hollow Rd, Dix Hills, NY 11746-5859