Wisly G Augustin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

235739-1 Issued in NY

Practice address

100 Livingston St Ste 3L
Brooklyn, NY 11201-5127

Phone

(929) 295-6616

Fax

(929) 295-6594

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Empire Family Ophthalmology, PC

  • Ophthalmologic Surgery Clinic/Center
  • Brooklyn, NY
  • NPI 1386944676
  Authorized official Same address or phone
• Ny Comprehensive Medical Wellness P.C.

  • Dermatopathology Physician
  • Bronx, NY
  • NPI 1912419698
  NPD
• American Comprehensive Healthcare Medical Group PC

  • Specialist
  • Brooklyn, NY
  • NPI 1780908863
  NPD (past)
• Caledonian Health Center

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1184657355
  NPD (past)
• Vijay K Battu MD PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1730291998
  NPD (past)
• Vista Vision Optical, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1700042421
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1902917487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST STE 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 ST STE 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015127",
            "telephone_number": "929-295-6616",
            "fax_number": "929-295-6594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Knickerbocker Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112378051",
            "country_code": "US",
            "telephone_number": "718-456-2834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "WISLY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "235739-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02839325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Augustin
• Rose Augustin
• Sabine Augustin
• Stephanie Amanda Augustin
• Vanessa Augustin
• Maya Augustine
• Nashuda Augustine, MHC-LP
• Rodgeria Augustine
• Augustus Dunseith Coley
• Matthew Augustus

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.