NPIMap

Organization Active NPI

Agu OT PC

  • Occupational Therapist
  • Long Beach, NY
National Provider Identifier
1275487308
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AGU OT PC
Practice address
274 W Broadway
Long Beach, NY 11561-3911
Phone
(732) 399-9700
Fax
(516) 308-2981
NPI assigned
Feb 25, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Gomez Ugarelli, OTNPI 1497235857
Title
Owner
Phone
(732) 399-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

274 W Broadway
Long Beach, NY 11561-3911

Mailing address

1105 E County Line Rd Ste 213
Lakewood, NJ 08701-2178
Phone (732) 399-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260411000070 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365917960 Receives reassigned benefits from 11 practitioners
Practice locations: Brooklyn, NY; Corona, NY; East Elmhurst, NY; Hempstead, NY; Long Beach, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1275487308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 213",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012178",
            "telephone_number": "732-399-9700",
            "fax_number": "516-308-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613911",
            "telephone_number": "732-399-9700",
            "fax_number": "516-308-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGU OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "GOMEZ UGARELLI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-399-9700",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.