WOODHULL MEDICAL GROUP
NPI 1053474395
Physician Assistant in Brooklyn, NY

Active since December 18, 2006
760 BROADWAY, BROOKLYN, NY 11206(718) 963-5735(718) 630-3045 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodhull Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODHULL MEDICAL GROUP (NPI 1053474395) is a healthcare organization registered as a physician assistant in Brooklyn, New York and active in the NPI registry since December 2006. The organization lists Riticia Christine Augusty, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1053474395
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameWOODHULL MEDICAL GROUP
Location Address760 BROADWAYBrooklyn, NY 11206-5317
Mailing Address403 Woolley AveStaten Island, NY 10314-2142 · (718) 983-7808
Fax(718) 630-3045
Organization SubpartNo
Authorized OfficialRiticia Christine AugustyPhysician Assistant · 17189837808
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1053474395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 009897
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
760 BROADWAY, Brooklyn, NY 11206

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodhull Medical Group's NPI number?

The NPI number for Woodhull Medical Group is 1053474395. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Woodhull Medical Group located?

Woodhull Medical Group is located at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 963-5735.

What is Woodhull Medical Group's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Woodhull Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.