Active NPI
Ag Medical Wellness
- Family Medicine Physician
- Tarrytown, NY
National Provider Identifier
1467245647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2025
- 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
- Ana Guerra, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Tarrytown, NY
- NPI 1053564260
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.