Organization Active NPI

Agustin Pediatrics

  • Pediatrics Physician
  • Cranberry TWP, PA
National Provider Identifier
1164450243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
AGUSTIN PEDIATRICS
Practice address
20397 Route 19
Two Landmark North, Suite 220
Cranberry TWP, PA 16066-6133
Phone
(724) 772-5430
Fax
(724) 772-5431
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amelia V Agustin, MD
Title
Doctor
Phone
(724) 772-5430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

20397 Route 19
Two Landmark North, Suite 220
Cranberry TWP, PA 16066-6133

Mailing address

20397 Route 19
Two Landmark North, Suite 220
Cranberry TWP, PA 16066-6133
Phone (724) 772-5430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164450243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19",
            "address_2": "TWO LANDMARK NORTH, SUITE 220",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-772-5430",
            "fax_number": "724-772-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19",
            "address_2": "TWO LANDMARK NORTH, SUITE 220",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-772-5430",
            "fax_number": "724-772-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUSTIN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "724-772-5430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.