Individual provider Active NPI

Ferdy Ambrocio

  • Pharmacist
  • Lyndhurst, NJ
National Provider Identifier
1043989221
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04199700 Issued in NJ
Practice address
425 Lewandowski St
Lyndhurst, NJ 07071-2540
Phone
(201) 438-1747
NPI assigned
Sep 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04199700 NJ Primary

Addresses

Primary practice location

425 Lewandowski St
Lyndhurst, NJ 07071-2540

Mailing address

719 13TH St Apt 2
Union City, NJ 07087-6654
Phone (201) 362-6762

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28RI04199700NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1043989221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 13TH ST APT 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876654",
            "telephone_number": "201-362-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LEWANDOWSKI ST",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712540",
            "telephone_number": "201-438-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROCIO",
        "first_name": "FERDY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04199700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 Lewandowski St",
            "city": "Lyndhurst",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070712540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.