Sajan Augustine, PT
Individual provider Active NPI Physical Therapist · Nanuet, NY
NPI 1023299013 · NPPES record last updated Nov 18, 2007
Key facts
- NPI
- 1023299013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 021666-1 (NY)
- Practice address
- 65 Lake Nanuet Dr
Nanuet, NY 10954-3514 - Phone
- (914) 843-4155
- Fax
- (845) 215-5623
- NPI assigned
- Nov 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
325 Merrick Ave
Suite 3
East Meadow, NY 11554-1556
Phone (516) 926-0900
369 S Main St
New City, NY 10956-3038
Phone (845) 358-0019
6 Melnick Dr
Suite 101
Monsey, NY 10952-3369
Phone (845) 642-4298
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041228000284 | NY | Practitioner - Physical Therapist in Private Practice | 6103884945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021666-1 | NY | MD | Physical Therapist |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon Rehab & Physical Therapy PC | Current |
Accepting new patients | |
| Harmony Medical Care, PC | Past |
Accepting new patients |
Locations
3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700
3626 E Tremont Ave
Ste 303
Bronx, NY 10465
53 W Merrick Rd
Freeport, NY 11520
Phone (516) 442-2044
1 Fulton Ave
Hempstead, NY 11550
Phone (516) 486-2300
369 S Main St
New City, NY 10956
Phone (845) 358-0019
1865 Amsterdam Ave
New York, NY 10031
Phone (212) 491-0100
2 Strawtown Rd
Ste 4
West Nyack, NY 10994
Phone (845) 348-8725
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021666-1 | NY | Yes |
Addresses
Primary practice location
65 Lake Nanuet Dr
Nanuet, NY 10954-3514
Mailing address
65 Lake Nanuet Dr
Nanuet, NY 10954-3514
Phone (914) 843-4155
Other providers in Nanuet, NY
- At Home, LTD.
- Doris Marlwin Atsutey
- Atz Medical & Respiratory Inc
- Melucienne Augusma
- Marie Augustin
- Autism Services North
- Olivia Avedissian
- Natasha Azore
- Jennifer Baculima
- Danielle Badillo
All providers in Nanuet, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.