Active NPI
Anthony Michael Ambrosino Jr., DC
- Chiropractor
- Baltimore, MD
National Provider Identifier
1124016803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03800
- Practice address
- 2227 Lincoln Ave
Baltimore, MD 21219 - Phone
- (443) 935-1222
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S03800 | MD | Primary |
Addresses
Primary practice location
2227 Lincoln Ave
Baltimore, MD 21219
Mailing address
2227 Lincoln Ave
Baltimore, MD 21219
Phone (443) 935-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-05717 | Other | AL | BCBS OF AL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S03800 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neal B. Blaxberg D.C. , LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1124016803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 LINCOLN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21219",
"telephone_number": "443-935-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 LINCOLN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21219",
"telephone_number": "443-935-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSINO",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "515-05717",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.