Active NPI
Peter Agho, MD, PC
- Primary Care Clinic/Center
- Bronx, NY
National Provider Identifier
1639407828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 190503
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01466059 | Medicaid | NY |
Other names 1
- Agho Clinic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- New York, NY
- NPI 1609119189
-
- Primary Care Nurse Practitioner
- Bronx, NY
- NPI 1073747945
-
- Pediatric Nurse Practitioner
- Bronx, NY
- NPI 1891904603
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.