Active NPI
Aag NP Services LLC
- Adult Medicine Physician
- Lake Worth Beach, FL
National Provider Identifier
1356989693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- AAG NP SERVICES LLC
- Practice address
- 309 Cornell Dr
Lake Worth Beach, FL 33460-6207 - Phone
- (718) 490-4293
- NPI assigned
- Dec 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alirio Alfonso Gonzalez, NP
- Title
- Owner
- Phone
- (718) 490-4293
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
309 Cornell Dr
Lake Worth Beach, FL 33460-6207
Mailing address
309 Cornell Dr
Lake Worth Beach, FL 33460-6207
Phone (718) 490-4293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246153 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Plantation, FL
- NPI 1568777415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1356989693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 CORNELL DR",
"city": "LAKE WORTH BEACH",
"state": "FL",
"postal_code": "334606207",
"telephone_number": "718-490-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 CORNELL DR",
"city": "LAKE WORTH BEACH",
"state": "FL",
"postal_code": "334606207",
"telephone_number": "718-490-4293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AAG NP SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "ALIRIO",
"authorized_official_middle_name": "ALFONSO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-490-4293",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00246153",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.