Active NPI
Honeylee Duque Agustin, M.D.
- Specialist
- Ogdensburg, NY
National Provider Identifier
1285918482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 003924
- Practice address
- 3 Lyon PL
Ogdensburg, NY 13669-2590 - Phone
- (315) 713-6770
- NPI assigned
- Oct 6, 2011
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 003924 | NY | Primary |
Addresses
Primary practice location
3 Lyon PL
Ogdensburg, NY 13669-2590
Mailing address
400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-8940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming County | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Watertown Pediatrics,PC | Specialist | Past | Accepting new patients |
| Pediatric Wellness of Northern New York | Past | Accepting new patients |
Locations
400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Warsaw, NY
- NPI 1407060759
-
- Internal Medicine Physician
- Warsaw, NY
- NPI 1184030017
-
- Rural Acute Care Hospital
- Warsaw, NY
- NPI 1316924913
-
- Surgery Physician
- Warsaw, NY
- NPI 1811385065
-
- Pediatrics Physician
- Watertown, NY
- NPI 1982389854
-
- Specialist
- Watertown, NY
- NPI 1750318705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285918482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691025",
"telephone_number": "585-786-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LYON PL",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136692590",
"telephone_number": "315-713-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUSTIN",
"first_name": "HONEYLEE",
"middle_name": "DUQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "003924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.