Individual provider Active NPI

Ambily Pailo, NP-C

  • Primary Care Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1043664246
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP016094 Issued in PA
Practice address
1205 Langhorne Newtown Rd
Suite 309
Langhorne, PA 19047-1219
Phone
(215) 741-1963
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP016094 PA Primary

Addresses

Primary practice location

1205 Langhorne Newtown Rd
Suite 309
Langhorne, PA 19047-1219

Mailing address

2624 Buffalo Ave
Feasterville Trevose, PA 19053-6706
Phone (267) 471-8726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601001032 PA Practitioner - Nurse Practitioner 2668762824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

2230 Cottman Ave
Philadelphia, PA 19149-1230
Phone (215) 685-0602

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Jan 8, 2018 Accepting new patients
City of Philadelphia CurrentSince Jan 8, 2018 Accepting new patients
City of Philadelphia Current Accepting new patients
Comprehensive Care Medical Associates P C CurrentSince May 5, 2016 Accepting new patients

Locations

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

1205 Langhorne Newtown Rd
Ste 309
Langhorne, PA 19047
Phone (215) 741-1963

1101 Market St
Fl 10
Philadelphia, PA 19107

2230 Cottman Ave
#10
Philadelphia, PA 19149
Phone (215) 685-0602

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

Interoperability endpoints

  • Direct secure messaging: ambily.pailo@pdphahs.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1043664246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 BUFFALO AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536706",
            "telephone_number": "267-471-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 309",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "215-741-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAILO",
        "first_name": "AMBILY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.