Jaiby Augustine, ANP-C
Individual provider Active NPI Adult Health Nurse Practitioner · East Patchogue, NY
NPI 1386928265 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1386928265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F305794-1 (NY)
- Practice address
- 286 Sills Rd
Suite 4
East Patchogue, NY 11772-8810 - Phone
- (631) 946-6446
- NPI assigned
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York University
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
Hospital & facility affiliations
- Long Island Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150218001386 | NY | Practitioner - Nurse Practitioner | 2062737877 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 562539-1 | NY | MD | Registered Nurse |
| F305794-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (11 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Memorial Hospital Medical Center, Inc. | Current |
Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Long Island Community Hospital at NYU Langone Health | Current |
Accepting new patients | |
| Bronx Medical Practice P.C. | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Health Watchers Adult Health NP Consultants PLLC | Adult Health | Current | Accepting new patients |
| Brookhaven Memorial Hospital Medical Center, Inc. | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current |
Accepting new patients |
Locations
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jaiby.augustine@direct.stonybrookmedicine.edu
- jaugustine501402@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 562539-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F305794-1 | NY | Yes |
Addresses
Primary practice location
286 Sills Rd
Suite 4
East Patchogue, NY 11772-8810
Mailing address
25 Palm St
Selden, NY 11784-2803
Phone (631) 946-6446
Other providers in East Patchogue, NY
- Sinthya Arguetta
- Melissa Frances Arrigo
- Attia Arshad-Noor
- Fred M Aueron
- Jorgio Auguste
- Brian W Ault
- Scott Thomas Avery
- Ethan Winslow Ayres
- Dean J Babich
- Reshma Baboolal
All providers in East Patchogue, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.