Organization Active NPI

Ag Medical Wellness

  • Family Medicine Physician
  • Tarrytown, NY
National Provider Identifier
1467245647
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AG MEDICAL WELLNESS
Practice address
200 S Broadway Ste 2-6
Tarrytown, NY 10591-4500
Phone
(914) 506-9573
NPI assigned
May 28, 2025
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Ana Guerra, MDNPI 1053564260
Title
Ceo
Phone
(914) 506-9573

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

200 S Broadway Ste 2-6
Tarrytown, NY 10591-4500

Mailing address

200 S Broadway Ste 2-6
Tarrytown, NY 10591-4500
Phone (914) 506-9573

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251007002263 NY Part B Supplier - Clinic/Group Practice 3678070661 Receives reassigned benefits from 1 practitioner
Practice locations: Tarrytown, NY

National Provider Directory

National Provider Directory

Locations

200 S Broadway
Ste 26
Tarrytown, NY 10591
Phone (914) 506-9573

Practitioners & affiliated clinicians

Practitioners 1

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": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1467245647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY STE 2-6",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-506-9573",
            "fax_number": "914-214-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY STE 2-6",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-506-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG MEDICAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-506-9573",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.