Organization Active NPI

Ahg of New York Inc

  • Community/Retail Pharmacy
  • Elmsford, NY
National Provider Identifier
1700834587
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022968 Issued in NY
Legal business name
AHG OF NEW YORK INC
Practice address
125 Clearbrook Rd Ste 122
Elmsford, NY 10523-1119
Phone
(914) 592-0333
NPI assigned
May 4, 2006
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ACCREDO HEALTH GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Victor Perini
Title
Vice President
Phone
(314) 684-6750

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 022968 NY
Community/Retail Pharmacy 3336C0003X 022968 NY Primary
Home Infusion Therapy Pharmacy 3336H0001X 022968 NY
Specialty Pharmacy 3336S0011X 022968 NY

Addresses

Primary practice location

125 Clearbrook Rd Ste 122
Elmsford, NY 10523-1119

Mailing address

PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141

Other identifiers 1

IdentifierTypeStateIssuer
2996963MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040922001222 NY Part B Supplier - Pharmacy 3577531920 Practice locations: Elmsford, NY
O20100930040809 NY DME Supplier - Pharmacy 3577531920 Practice locations: Elmsford, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ahg of New York Inc125 Clearbrook Rd, Elmsford, NY 10523-1119(914) 592-0333 External Infusion Pumps and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory
Part of
Accredo Health Group in

Locations

125 Clearbrook Rd
Ste 122
Elmsford, NY 10523
Phone (914) 592-0333

500 Executive Blvd
Elmsford, NY 10523
Phone (914) 495-4500

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1700834587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954041",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631950001",
            "telephone_number": "901-381-7141",
            "fax_number": "901-261-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CLEARBROOK RD STE 122",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105231119",
            "telephone_number": "914-592-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHG OF NEW YORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCREDO HEALTH GROUP INC",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-684-6750"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "022968",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022968",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "022968",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "022968",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.