Active NPI
Agu OT PC
- Occupational Therapist
- Long Beach, NY
National Provider Identifier
1275487308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Andrea Gomez Ugarelli, OT
- 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.
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- New York, NY
- NPI 1497235857
NY, Occupational Therapist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2026.
{
"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.