Ambler Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

AMBLER PEDIATRICS, PC

Practice address

602 S Bethlehem Pike
Suite D
Ambler, PA 19002-5800

Phone

(215) 643-7771

Fax

(215) 643-9463

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fredric T Serota, M.D., J.D.NPI 1588668131

Title

President

Phone

(215) 643-7771

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fredric Tobin Serota, M.D., J.D.

  • Pediatrics Physician
  • Ambler, PA
  • NPI 1588668131
  NPD (past) Authorized official
• Jaime Johnson, M.D.

  • Pediatrics Physician
  • Ambler, PA
  • NPI 1487816955
  NPD (past)
• Jo Ann Elizabeth Serota, R.N., C.R.N.P.

  • Pediatric Nurse Practitioner
  • Ambler, PA
  • NPI 1194724526
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174579114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S BETHLEHEM PIKE",
            "address_2": "SUITE D",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025800",
            "telephone_number": "215-643-7771",
            "fax_number": "215-643-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S BETHLEHEM PIKE",
            "address_2": "SUITE D",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025800",
            "telephone_number": "215-643-7771",
            "fax_number": "215-643-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBLER PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEROTA",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-643-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., J.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025833",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Enterprises Inc (Amber Specialty Pharmacy)
• Ambler Counseling Center, LLC
• Ambler Dental Care GPS LLC
• Ambler Healthcare Group, LLC (Ambler Extended Care Center)
• Ambler Medical Associates, Inc.
• Ambler Physical Therapy & Sports Rehabilitation LLC
• Ambler Senior Services, LLC (Brighten at Ambler)
• Jagruti Amin, M.D.
• Anth Russ (Mano Wellness)
• Robin P Arnold, PSY.D

• Pediatrics Physician in Ambler, PA
• Providers in Ambler, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.