Roy K Augusthy, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD02677Y Issued in PA

Practice address

5735 Ridge Ave
Suite 210
Philadelphia, PA 19128

Phone

(215) 483-8605

Fax

(215) 643-6323

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1730162660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DENSTON DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-483-8605",
            "fax_number": "215-487-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE",
            "address_2": "SUITE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-483-8605",
            "fax_number": "215-643-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTHY",
        "first_name": "ROY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD02677Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA1064343",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Celia August
• Venita Auguste-Duverson, M.A.
• Beth Auguste, R.D.N.
• Perpetua Myriam Auguste, RN
• Wiltherkeen Auguste, PHARMACIST
• Bermann Augustin
• Madjanie Augustin
• Augustinian Defenders of the Rights of the Poor
• Stanley Jay Aukburg, MD
• Bennett Auker

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.