Active NPI
Augusto Villanueva Rodriguez, MD, PHD
- Hepatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- 303831
- Practice address
- 17 E 102ND St
New York, NY 10029-5204 - Phone
- (212) 241-7270
- NPI assigned
- Mar 27, 2020
- Last updated
- Jun 12, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | 303831 | NY | Primary |
Addresses
Primary practice location
17 E 102ND St
New York, NY 10029-5204
Mailing address
1425 Madison Ave, Box 1123
Room 11-70E
New York, NY 10029
Phone (212) 659-9392
Other practice location 1
10 E 102nd St
New York, NY 10029-6030
Phone (212) 241-6756
Other practice location 2
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-7270
Other practice location 3
1425 Madison Ave Rm 11-70E
New York, NY 10029-6514
Phone (212) 659-9392
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Medical Oncology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
10 E 102nd St
New York, NY 10029
Phone (212) 241-5656
1425 Madison Ave
Rm 1170E
New York, NY 10029
Phone (212) 659-9392
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- avillanuevarodriguez709634@nyumc.direct-ci.com
Organizations & group practices 4
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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Medical Oncology, NY
-
dba Liver Division of Mount Sinai
- Gastroenterology Physician
- New York, NY
- NPI 1033471305
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1447888318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MADISON AVE, BOX 1123",
"address_2": "ROOM 11-70E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-659-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 102ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295204",
"telephone_number": "212-241-7270"
}
],
"practiceLocations": [
{
"address_1": "10 E 102nd St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296030",
"country_code": "US",
"telephone_number": "212-241-6756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-7270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Madison Ave Rm 11-70E",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296514",
"country_code": "US",
"telephone_number": "212-659-9392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLANUEVA RODRIGUEZ",
"first_name": "AUGUSTO",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "NY",
"license": "303831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.