IndividualActive
Andre Augustin, APN
NPI 1376291013 · Gerontology Nurse Practitioner · Bloomfield, NJ
Provider details
- NPI number
- 1376291013
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26NJ01282100 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Agencies
Practice location
135 Bloomfield Ave Ste F
Bloomfield, NJ 07003-5902
Phone: (862) 213-0033
Fax: (862) 213-0037
Approximate (ZIP-level) locationGet directions
Mailing address
55 a Linn Dr
Verona, NJ 07044
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-04-07
- Certified
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.