Active NPI
Kristine Noelle Augaitis, PA
- Medical Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA052357
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-5030
- Fax
- (215) 707-3494
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA052357 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-5030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356
3626 St Rd
Bensalem, PA 19020-1507
Phone (267) 763-3626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA052357 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Current | Accepting new patients | |
| Burholme Emergency Care Specialists LLC | Past | Accepting new patients | |
| East PA Emergency Physicians, LLC | Past | Accepting new patients | |
| On Demand Urgent Care Group PC | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients |
Locations
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
Interoperability endpoints
- kristine.augaitis.1@14965.direct.athenahealth.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1053729814
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Urgent Care Clinic/Center
- Fairless Hills, PA
- NPI 1336544477
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
-
- Obstetrics & Gynecology Physician
- Philadelphia, PA
- NPI 1912480658
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1588693121
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1235475211
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1881083723
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1144261579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1902844129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-5030",
"fax_number": "215-707-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-5030",
"fax_number": "215-707-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGAITIS",
"first_name": "KRISTINE",
"middle_name": "NOELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA052357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.