John Augustin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA024356 Issued in NJ

Practice address

850 S 11TH St
Newark, NJ 07108-1304

Phone

(973) 373-6066

NPI assigned

Aug 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Harrison Medical Group LLC

  • Internal Medicine Physician
  • Harrison, NJ
  • NPI 1841579851
  Medicare reassignment NPD
• Harrison Pediatric Care Center, P.a.

  • Pediatrics Physician
  • Harrison, NJ
  • NPI 1225163678
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225146632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 11TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081304",
            "telephone_number": "973-373-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 11TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081304",
            "telephone_number": "973-373-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA024356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Atonlio, NP
• Kyrillos Emad Attaalla, MD
• Zillah E Attah-Poku
• Nicole Attaway
• Daniel Augh, MD
• Amitpal Auluck
• Sai Tun Hein Aung, MD
• Ma. Consolatrix Auza
• Erton Joseph Calingasan Averion, D.C.
• Stephanie Almeida Aversano

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.