Maria G Ambrosio, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15610 Issued in NJ

Practice address

911 Valley Rd
Wayne, NJ 07470-2973

Phone

(973) 694-9080

Fax

(973) 694-9084

NPI assigned

Dec 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Maldonado and Ambrosio

  • General Practice Dentistry
  • Wayne, NJ
  • NPI 1639398316
  NPD (past) Authorized official

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1023406097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702973",
            "telephone_number": "973-694-9080",
            "fax_number": "973-694-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702973",
            "telephone_number": "973-694-9080",
            "fax_number": "973-694-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSIO",
        "first_name": "MARIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1639398316",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Alvarez Sr., LMT
• Ahmed Amashah, PHARMD
• Caroline Cuddy Amato, A-GNP-C
• Lucille Amato
• Lawrence Ambrose, M.D.
• Ambulatory Anesthesia Services, P.a.
• Georgiette Ameyaw-Wordie, FNP
• James Amir, DMD
• Jacquelyn Marie Amodeo, APN
• Robert Charles Amoruso, MD

• General Practice Dentistry in Wayne, NJ
• Providers in Wayne, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.