Organization Active NPI

Octavian G Austriacu DO PC

  • Family Medicine Physician
  • West Babylon, NY
National Provider Identifier
1821112327
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2248091 Issued in NY
Legal business name
OCTAVIAN G AUSTRIACU DO PC
Practice address
900 Straight Path
West Babylon, NY 11704-3203
Phone
(631) 957-0066
Fax
(631) 957-2701
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Octavian Gheorghe Austriacu, D.O.
Title
President
Phone
(631) 957-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2248091 NY Primary

Addresses

Primary practice location

900 Straight Path
West Babylon, NY 11704-3203

Mailing address

900 Straight Path
West Babylon, NY 11704-3203
Phone (631) 957-0066

Other identifiers 3

IdentifierTypeStateIssuer
02877609MedicaidNY
1821112327OtherNYPC NPI
1700949823OtherNYINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

170 Little East Neck Rd
West Babylon, NY 11704
Phone (631) 526-9200

900 Straight Path
West Babylon, NY 11704
Phone (631) 957-0066

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1821112327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STRAIGHT PATH",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043203",
            "telephone_number": "631-957-0066",
            "fax_number": "631-957-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STRAIGHT PATH",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043203",
            "telephone_number": "631-957-0066",
            "fax_number": "631-957-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIAN G AUSTRIACU DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "AUSTRIACU",
        "authorized_official_first_name": "OCTAVIAN",
        "authorized_official_middle_name": "GHEORGHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-957-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2248091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02877609",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PC NPI",
            "identifier": "1821112327",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700949823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.