- Practice location
- 360 W 31ST St, 5TH Floor, New York, NY 10001-2727
- Phone
- 212-563-5570
- Fax
- 212-563-5975
- Last updated
- July 30, 2007
Amerigroup New York, LLC is a healthcare organization based in New York, NY. Amerigroup New York, LLC practices in New York, NY. The NPI Number for Amerigroup New York, LLC is 1649254806 and holds a License No. 04-008 (NY). The current practice location address for Amerigroup New York, LLC is 360 W 31ST St, 5TH Floor, New York, NY 10001-2727 and can be reached out via phone at 212-563-5570 and via fax at 212-563-5975.
Provider Profile Details
- NPI Number
- 1649254806
- Provider Name
- Amerigroup New York, LLC
- Provider Entity Type
- Organization
- Address
- 360 W 31ST St, 5TH Floor, New York, NY 10001-2727
- Phone Number
- 212-563-5570
- Fax Number
- 212-563-5975
- Primary Taxonomy
- Health Maintenance Organization · 302R00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Peter D. Haytaian · President And Ceo · 212-563-5570
- Other Names
- Amerigroup Community Care (Doing Business As)
- Provider Enumeration Date
- December 1, 2005
- Last Update Date
- July 30, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 W 31ST St
5TH Floor
New York, NY 10001-2727 - City
- New York
- State
- New York
- Zip
- 10001-2727
- Phone Number
- 212-563-5570
- Fax Number
- 212-563-5975
Provider Business Mailing Address Details
- Address
- 360 W 31ST St
5TH Floor
New York, NY 10001-2727 - City
- New York
- State
- NY
- Zip
- 10001-2727
- Phone Number
- 212-563-5570
- Fax Number
- 212-563-5975
License Information
- License Number
- 04-008
- License State
- NY
- Taxonomy
- Health Maintenance Organization · 302R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amerigroup New York, LLC?
The NPI number of Amerigroup New York, LLC is 1649254806. It was assigned on December 1, 2005 and is currently active in the NPPES registry.
What is the specialty of Amerigroup New York, LLC?
Amerigroup New York, LLC is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X), licensed in NY under license number 04-008.
Where does Amerigroup New York, LLC practice?
The practice location is 360 W 31ST St, 5TH Floor, New York, NY 10001-2727. The office can be reached at 212-563-5570 (phone) or 212-563-5975 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649254806 directly on the NPPES registry website.