Organization Active NPI

Albright Medical Offices, PC

  • Family Medicine Physician
  • Saint Albans, NY
National Provider Identifier
1629149927
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229630 Issued in NY
Legal business name
ALBRIGHT MEDICAL OFFICES, PC
Practice address
111-02 Farmers Blvd
Saint Albans, NY 11412-2328
Phone
(718) 454-1466
Fax
(718) 454-1467
NPI assigned
Nov 10, 2006
Last updated
Jun 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Dr. Onyemachi George Ajah, MDNPI 1407817398
Title
Medical Director
Phone
(718) 454-1466

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 229630 NY Primary

Addresses

Primary practice location

111-02 Farmers Blvd
Saint Albans, NY 11412-2328

Mailing address

111-02 Farmers Blvd
Saint Albans, NY 11412-2328
Phone (718) 454-1466

Other identifiers 1

IdentifierTypeStateIssuer
02553666MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061201000019 NY Part B Supplier - Clinic/Group Practice 5193723021 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Albans, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1052711Albright Medical Offices PC111-02 Farmers Boulevard, Saint Albans, NY 11412Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory

Locations

11102 Farmers Blvd
Saint Albans, NY 11412
Phone (718) 454-1466

Practitioners & affiliated clinicians

Practitioners 2

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1629149927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-02 FARMERS BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122328",
            "telephone_number": "718-454-1466",
            "fax_number": "718-454-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-02 FARMERS BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122328",
            "telephone_number": "718-454-1466",
            "fax_number": "718-454-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBRIGHT MEDICAL OFFICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "AJAH",
        "authorized_official_first_name": "ONYEMACHI",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-454-1466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02553666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.