Amboy Medical Practice PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

AMBOY MEDICAL PRACTICE PC

Practice address

355 Bard Ave
Staten Island, NY 10310-1664

Phone

(718) 818-1234

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 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

Joan Marie Nelson

Title

Director Network Revenue Cycle Oper

Phone

(718) 818-4531

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL, MA, AZ, OH, CA, CO, NJ, IL, PA, GA, MD12 enrollments

Enrollment records 12

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Amboy Medical Practice PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700037975

  2860538170

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Amboy Medical Practice PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700037975

  O20090930000024, O20240429001502, O20240606002477, O20240611004616

  Same enrollment

Locations

Practitioners 417

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.

• Alexander Beylinson, D.O.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1124048707

  NJ

  Medicare reassignment NPD
• Eric Alexander Addo, M.D.

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1992141295
  Medicare reassignment NPD
• Maximina Boutselis, M.D.

  • Diagnostic Radiology Physician
  • West Newbury, MA
  • NPI 1013946094
  Medicare reassignment NPD
• Dennis M Burton, M.D.

  • Diagnostic Radiology Physician
  • Palm City, FL
  • NPI 1043298417

  Nuclear Radiology

  Medicare reassignment NPD
• Abbas A Chamsuddin, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1578539557

  Body Imaging, FL

  Medicare reassignment NPD
• James Ivan Collins, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1366429383
  Medicare reassignment NPD
• Steven J Dileo, MD

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1932132941
  Medicare reassignment NPD
• Arnold Friedman, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1164497814

  CA

  Medicare reassignment NPD
• Nathaniel Hagler III, MD

  • Body Imaging Physician
  • Neenah, WI
  • NPI 1548328594

  MD

  Medicare reassignment NPD
• Jerald D Hansing, MD

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1891795696
  Medicare reassignment NPD
• Peter Mena, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1427444280

  NJ

  Medicare reassignment NPD
• Sujoy Menon, MD

  • Vascular & Interventional Radiology Physician
  • Newark, NJ
  • NPI 1154556835
  Medicare reassignment NPD

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1104692672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BARD AVE # LL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101666",
            "telephone_number": "171-881-8453",
            "fax_number": "347-825-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1058 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103102419",
            "country_code": "US",
            "telephone_number": "718-818-1058",
            "fax_number": "855-449-6480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 South Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143409",
            "country_code": "US",
            "telephone_number": "718-816-4949",
            "fax_number": "718-370-8731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4360 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126522",
            "country_code": "US",
            "telephone_number": "718-818-4360",
            "fax_number": "718-317-9134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013621",
            "country_code": "US",
            "telephone_number": "718-818-1161",
            "fax_number": "855-451-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBOY MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR NETWORK REVENUE CYCLE OPER",
        "authorized_official_telephone_number": "718-818-4531"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Amberger
• Denise E Ambery, PHARM D
• Grace Ambio, PA-C
• Karen B Amble, LMSW
• Amboy Chiropractic, PC
• Amboy Medical Practice PC
• Amboy Pharmacy Inc
• Ambreen Khalil MD PC
• Amber Nicole Ambrose, RN
• Kim Linda Ambrose

• Diagnostic Radiology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.