Naomi Ambalu, DO
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Warren, NJ
NPI 1174870034 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1174870034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 25MB09744300 (NJ)
- Practice address
- 266 King George Rd Ste G
Warren, NJ 07059-5187 - Phone
- (908) 647-8847
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MB09744300 | NJ | Yes |
Addresses
Primary practice location
266 King George Rd Ste G
Warren, NJ 07059-5187
Mailing address
266 King George Rd
Suite G
Warren, NJ 07059
Phone (908) 647-8847
Other practice location 1
671 Hoes Ln W
Piscataway, NJ 08854-8021
Phone (732) 235-4433
Other providers in Warren, NJ
- Poonam Alaigh
- Sicily A Alfonso
- All Dental Arts Warren PC
- Alternative Physical Therapy
- Candice Anne Alvarez
- Joseph Amoroso
- Ams Medical LLC
- Kaitlyn Noelle Andersen
- Ellen Anello
- Apex Health and Fitness Limited Liability Company
All providers in Warren, NJ · Child & Adolescent Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.