Individual provider Active NPI

Eustace A. Huggins, M.D.

  • Family Medicine Physician
  • Saint Albans, NY
National Provider Identifier
1124066766
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
138189 Issued in NY
Practice address
20017 Linden Blvd
Saint Albans, NY 11412-3200
Phone
(718) 525-7818
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 138189 NY Primary

Addresses

Primary practice location

20017 Linden Blvd
Saint Albans, NY 11412-3200

Mailing address

20017 Linden Blvd
PO Box 120329
Saint Albans, NY 11412-3200
Phone (718) 525-7818

Other identifiers 1

IdentifierTypeStateIssuer
00617776MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080424000696 NY Practitioner - Family Practice 0840378287 Reassigns benefits to 4 organizations
I20140607000019 TX Practitioner - Family PracticePractitioner - General Practice 0840378287 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince May 15, 2014 Accepting new patients
Damian Family Care Centers, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Statmd Physicians, PLLC CurrentSince Aug 15, 2023 Accepting new patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Sep 22, 2014 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Rosebud Indian Health Service CurrentSince May 15, 2014 Accepting new patients
Damian Family Care Centers, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Sun River Health Inc. CurrentSince Jan 5, 2015 Accepting new patients
Sun River Health Inc Current Accepting new patients
Li Medical Group PLLC Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
Metropolitan Medical Consultants, PLLC Past Accepting new patients
Spirit Lake Tribe Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100

2090 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 352-7828

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1124066766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20017 LINDEN BLVD",
            "address_2": "PO BOX 120329",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123200",
            "telephone_number": "718-525-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20017 LINDEN BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123200",
            "telephone_number": "718-525-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGINS",
        "first_name": "EUSTACE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "138189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00617776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

Verify at the official NPI Registry.