Individual provider Active NPI

Augustine Yao Alifo, M.D.

  • Emergency Medicine Physician
  • Montclair, NJ
National Provider Identifier
1114926375
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.092137 Issued in OH
Practice address
1 Bay Ave
Montclair, NJ 07042-4837
Phone
(973) 429-6000
NPI assigned
Jul 20, 2005
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.092137 OH Primary
Emergency Medicine Physician 207P00000X 25MA06628800 NJ

Addresses

Primary practice location

1 Bay Ave
Montclair, NJ 07042-4837

Mailing address

312 N Highland Ave
Pearl River, NY 10965-1005
Phone (973) 268-1806

Other practice location 1

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500

Other practice location 2

2300 N Limestone St
Springfield, OH 45503-1102
Phone (937) 504-8305

Other practice location 3

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500

Other identifiers 1

IdentifierTypeStateIssuer
000000579078OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081113000529 OH Practitioner - Emergency Medicine 8729077151 Reassigns benefits to 3 organizations
I20230309001047 TX Practitioner - Emergency Medicine 8729077151 Reassigns benefits to 3 organizations
I20250306001010 GA Practitioner - Emergency Medicine 8729077151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.73
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06628800NJMDEmergency Medicine Physician
35.092137OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Peach State Emergency Physicians LLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 1, 2023 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince May 18, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Mar 10, 2024 Accepting new patients
Miami Valley Emergency Specialists, LLC Emergency Medicine CurrentSince May 9, 2023 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince May 18, 2025 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Jun 12, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 1, 2023 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Emergency Medicine Services of in, LLC Emergency Medicine CurrentSince Feb 23, 2025 Accepting new patients
Montefiore Medical Center Emergency Medicine Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Michael S Lippe MD, PC Past Accepting new patients
Genesis Emergency Physicians LLC Emergency Medicine Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Emergency Physicians of Saint Clares LLC Emergency Medicine PastSince Jan 1, 2012 Accepting new patients
Springfield Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine Past Accepting new patients
Beavercreek Medical Center PastSince Aug 4, 2022 Accepting new patients
New York Downtown Hospital FPP Emergency Medicine Past Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine Past Accepting new patients
Our Lady of Mercy Medical Center Emergency Medicine Past Accepting new patients
Erie Banks Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1114926375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N HIGHLAND AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651005",
            "telephone_number": "973-268-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-429-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Pentagon Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-702-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N Limestone St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455031102",
            "country_code": "US",
            "telephone_number": "937-504-8305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 N Monroe Dr",
            "address_purpose": "LOCATION",
            "city": "Xenia",
            "state": "OH",
            "postal_code": "453851619",
            "country_code": "US",
            "telephone_number": "937-352-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIFO",
        "first_name": "AUGUSTINE",
        "middle_name": "YAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.092137",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06628800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000579078",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.