Ambrosia Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AMBROSIA HEALTH LLC

Practice address

101 Eisenhower Pkwy Ste 300, Unit 3247
Roseland, NJ 07068

Phone

(862) 438-3692

NPI assigned

Jul 4, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam JohnsonNPI 1346894565

Title

Ceo

Phone

(862) 438-3692

Specialties & licenses 1

Addresses

Locations

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.

• Miriam Johnson, FNP

  • Family Nurse Practitioner
  • Roseland, NJ
  • NPI 1346894565
  Authorized official Same address or phone

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1033896774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 FELA DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080771588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY STE 300, UNIT 3247",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "07068",
            "telephone_number": "862-438-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSIA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-438-3692"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Sound & Speech Therapy LLC
• Advanced Behavioral Associates (Stephen S. Craig)
• Ajl Physical & Occupational Therapy Associates, P.a. (AJL Physical & Occupational Therapy Associates)
• Jessica Lynn Alcius, LCSW
• Mark S Andrawis, D.M.D
• Tiziana Anello, MD
• Anthony F. Jahn,M.D.,PA
• Anthony Origlieri, MD, PA
• Anthony R. Caputo, MD PA

• Nurse Practitioner in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.