Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Woodhull Medical Group

Organization Physician Assistant · NPI 1053474395

Woodhull Medical Group is a Physician Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

760 Broadway
Brooklyn, NY 11206-5317
Phone: (718) 963-5735
Fax: (718) 630-3045
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009897 (NY)

Record details

NPI number1053474395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riticia Augusty — Physician Assistant · (718) 983-7808
NPI enumeratedDecember 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address403 Woolley Ave, Staten Island, NY 10314-2142

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