Andre Augustin, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01282100 Issued in NJ

Practice address

135 Bloomfield Ave Ste F
Bloomfield, NJ 07003-5902

Phone

(862) 213-0033

Fax

(862) 213-0037

NPI assigned

Mar 11, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SM Medical LLCGroup PAC ID 6406145796, 6 clinicians

Hemant G Patel MD PAGroup PAC ID 0941280960, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Dka Medical LLC

  • Primary Care Nurse Practitioner
  • East Hanover, NJ
  • NPI 1124737093

  Nursing Care

  Medicare reassignment NPD Authorized official
• Hemant G Patel MD PA

  • Specialist
  • Newark, NJ
  • NPI 1841245081
  Medicare reassignment Care Compare group NPD
• SM Medical, LLC

  • Internal Medicine Physician
  • Bloomfield, NJ
  • NPI 1932562907
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bergen County Improvement Authority

  dba Bergen New Bridge Medical Center

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1689682999
  Care Compare affiliation
• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Eoh Acquisition Group, LLC

  dba CareWell Health Medical Center

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  Care Compare affiliation

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1376291013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 A LINN DR",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "07044",
            "telephone_number": "973-641-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE STE F",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "862-213-0033",
            "fax_number": "862-213-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "ANDRE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NJ",
            "license": "26NJ01282100",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01282100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "26NJ01282100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astir Home Health Care LLC
• Astir Physical Therapy and Wellness LLC
• Mirette Attallah
• Emmanuela Audige, PHARM D
• Audiology Distribution, LLC (HearUSA)
• Nicholas Anthony Avianto, DMD
• Ronald C. Avila
• Nikki Marie Aviles
• Marina M Awadalla
• Sherlaine Baas

• Gerontology Nurse Practitioner in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.
• 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.