AMBOY MEDICAL PRACTICE PC NPI 1104692672

NPI Information

NPI: 1104692672
Provider Name: AMBOY MEDICAL PRACTICE PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 33D2057992

Address:
355 BARD AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 818-1234
Get Directions

AMBOY MEDICAL PRACTICE PC is a diagnostic radiology radiology in Staten Island, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. AMBOY MEDICAL PRACTICE PC NPI is 1104692672. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

355 BARD AVE
STATEN ISLAND, NY
ZIP 10310-664
Phone: (718) 818-1234

The provider's authorized official is Joan Marie Nelson .
The authorized official title is Director Network Revenue Cycle Oper and has the following contact phone number (718) 818-4531.

The CLIA number assigned to this NPI record is 33D2057992 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085D0003X	Radiology	Diagnostic Neuroimaging	No
3	2085N0904X	Radiology	Nuclear Radiology	No
4	2085P0229X	Radiology	Pediatric Radiology	No
5	2085R0001X	Radiology	Radiation Oncology	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	No
8	2085R0202X	Radiology	Diagnostic Radiology	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »