Organization Active NPI

New Hope Medical Group LLC

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1366722845
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72155 Issued in FL
Legal business name
NEW HOPE MEDICAL GROUP LLC
Practice address
4301 W Sunrise Blvd
Plantation, FL 33313-6749
Phone
(954) 514-7712
Fax
(954) 533-5193
NPI assigned
Aug 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Arold Joseph Augustin, MDNPI 1336244698
Title
Owner/Medical Director
Phone
(954) 514-7712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME72155 FL Primary

Addresses

Primary practice location

4301 W Sunrise Blvd
Plantation, FL 33313-6749

Mailing address

4301 W Sunrise Blvd
Plantation, FL 33313-6749
Phone (954) 514-7712

Other identifiers 1

IdentifierTypeStateIssuer
261450200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120203000158 FL Part B Supplier - Clinic/Group Practice 4183881139 Receives reassigned benefits from 2 practitioners
Practice locations: Plantation, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2032928New Hope Medical Group LLC4301 W Sunrise Blvd, Plantation, FL 33313Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

Locations

4301 W Sunrise Blvd
Plantation, FL 33313
Phone (954) 514-7712

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1366722845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136749",
            "telephone_number": "954-514-7712",
            "fax_number": "954-533-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136749",
            "telephone_number": "954-514-7712",
            "fax_number": "954-533-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-28",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "AROLD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-514-7712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261450200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.