Physician Compare National (NPI:1902118383)

HEALTHCARE PROVIDER: AUGUSTINE AIGBOVBIOISE UNUIGBE M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902118383
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991987174
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110817000260
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	UNUIGBE
	Individual professional last name
Provider First Name	AUGUSTINE
	Individual professional first name
Provider Middle Name	AIGBOVBIOISE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1021 S MAIN ST
	Group Practice or individual's line 1 address
City	PLEASANTVILLE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	082323619
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHERN OCEAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JFK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310003
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HACKENSACKUMC PALISADES
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y