Organization Active NPI

Empire Family Ophthalmology, PC

  • Ophthalmologic Surgery Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1386944676
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
235739 Issued in NY
Legal business name
EMPIRE FAMILY OPHTHALMOLOGY, PC
Practice address
100 Livingston Street Suite 3L
Brooklyn, NY 11201-5127
Phone
(929) 295-6616
Fax
(929) 295-6594
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Dr. Wisly Gerald Augustin, M.D.
Title
President
Phone
(718) 531-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 235739 NY Primary

Addresses

Primary practice location

100 Livingston Street Suite 3L
Brooklyn, NY 11201-5127

Mailing address

100 Livingston Street Suite 3L
Brooklyn, NY 11201-5127
Phone (929) 295-6616

National Provider Directory

National Provider Directory

Locations

3839 Flatlands Ave
Ste 102
Brooklyn, NY 11234
Phone (347) 907-2992

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17808/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1386944676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON STREET SUITE 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015127",
            "telephone_number": "929-295-6616",
            "fax_number": "929-295-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON STREET SUITE 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015127",
            "telephone_number": "929-295-6616",
            "fax_number": "929-295-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE FAMILY OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "WISLY",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-531-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "235739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.