Organization Active NPI

Peter Agho, MD, PC

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1639407828
Registry record updated Nov 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
190503 Issued in NY
Legal business name
PETER AGHO, MD, PC
Practice address
1531 Metropolitan Ave
Bronx, NY 10462-6127
Phone
(718) 597-3111
Fax
(718) 597-3332
NPI assigned
Nov 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2009

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

Authorized official

Name
Dr. Peter Agho, MD
Title
President
Phone
(212) 245-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 190503 NY Primary

Addresses

Primary practice location

1531 Metropolitan Ave
Bronx, NY 10462-6127

Mailing address

PO Box 491
New City, NY 10956-0491
Phone (212) 245-0200

Other identifiers 1

IdentifierTypeStateIssuer
01466059MedicaidNY

Other names 1

  • Agho Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1531 Metropolitan Ave
Bronx, NY 10462
Phone (718) 597-3111

71 Metropolitan Oval
#2
Bronx, NY 10462
Phone (718) 684-2651

254 W 47th St
Fl 5
New York, NY 10036
Phone (212) 245-0200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259193600000",
    "number": "1639407828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109560491",
            "telephone_number": "212-245-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626127",
            "telephone_number": "718-597-3111",
            "fax_number": "718-597-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER AGHO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-26",
        "last_updated": "2009-11-26",
        "status": "A",
        "authorized_official_last_name": "AGHO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-245-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "190503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01466059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agho Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.