Organization Active NPI

Agbs Optimal Health LLC

  • Nurse Practitioner
  • Bronxville, NY
National Provider Identifier
1972175586
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
AGBS OPTIMAL HEALTH LLC
Doing business as
Agbs Optimal Health LLC
Practice address
10 Alta Dr
Bronxville, NY 10708-4503
Phone
(646) 294-8783
Fax
(888) 727-0593
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Andrea BrownNPI 1144390337
Title
Owner
Phone
(646) 294-8783

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
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

10 Alta Dr
Bronxville, NY 10708-4503

Mailing address

10 Alta Dr
Bronxville, NY 10708-4503
Phone (646) 294-8783

Other identifiers 1

IdentifierTypeStateIssuer
928337786MedicaidNY

Other names 1

  • AGBS OPTIMAL HEALTH LLC Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1972175586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALTA DR",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084503",
            "telephone_number": "646-294-8783",
            "fax_number": "888-727-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALTA DR",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084503",
            "telephone_number": "646-294-8783",
            "fax_number": "888-727-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGBS OPTIMAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-294-8783"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928337786",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGBS OPTIMAL HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.