ERIE T AGUSTIN MD PC (NPI# 1306037247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306037247 |
| Entity Type | Organization |
| Organization Name | ERIE T AGUSTIN MD PC |
| Other Organization Name | ERIE T AGUSTIN MD PC |
| Practice Address |
5718 Woodside Ave Woodside NY 11377-3444 |
| Mailing Address |
5301 66th St Maspeth NY 11378-1734 |
| Practice Telephone | 7182050030 |
| Practice Fax Number | 7182056136 |
| Mailing Telephone | 7182050030 |
| Mailing Fax Number | 7182056136 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | DR. ERIE T. AGUSTIN (PRESIDENT) |
| Authorized Official Telephone | 7182050030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Erie T Agustin MD PC | Doing Business As Name - Organization |
| Street Address |
5718 WOODSIDE AVE |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144332511 | Brian T Mcneary | Specialist | 5718 Woodside Ave, 203, Woodside, NY 11377-3444 | 2006-08-31 |
| 1609288331 | Dynamic Physical Therapy of Queens Pllc | Clinic/Center | 5718 Woodside Ave, 2flr Suite#103, Woodside, NY 11377-3415 | 2014-05-29 |
| 1386925873 | Resilient Care Physical Therapy LLC | Health Maintenance Organization | 5718 Woodside Ave, Suite B102, Woodside, NY 11377-3415 | 2011-08-29 |
| 1760615603 | Hemali M Ajmera | Dentist | 5718 Woodside Ave, Ste 203, Woodside, NY 11377-3444 | 2009-08-26 |
| 1700925880 | Amado E Conanan | Physical Therapist | 5718 Woodside Ave, 2nd Floor, Woodside, NY 11377-3444 | 2007-02-06 |
| 1639216617 | Stacy Lee Shanahan | Physician Assistant | 5718 Woodside Ave, Woodside, NY 11377-3444 | 2007-01-31 |
| 1467520312 | Joseph James Upton | Chiropractor | 5718 Woodside Ave, Suite B102, Woodside, NY 11377-3444 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518713 | Drl Plus Inc. | Clinic/Center | 5718 Woodside Ave Ste B101, Woodside, NY 11377-3444 | 2017-06-22 |
| 1629278643 | Greater New York Ophthalmology Care, Pllc | Clinic/Center | 4141 51st St, Woodside, NY 11377-4431 | 2007-07-18 |
| 1255496642 | United Cerebral Palsy Assoc of Nys Inc. | Clinic/Center | Queens Health Care Center, 51-40 59th Street, Woodside, NY 11377 | 2006-12-26 |
| 1568819522 | Village Doctor, A Medical Corporation | Clinic/Center | 2979 Woodside Rd, Woodside, CA 94062-2443 | 2016-05-19 |
| 1457697161 | Metro Community Health Centers, Inc. | Clinic/Center | 5140 59th St, Woodside, NY 11377-7413 | 2012-12-27 |
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| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
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| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.