Organization Active NPI

Ambassador Medical PC

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1184740771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMBASSADOR MEDICAL PC
Practice address
432 North Ave
New Rochelle, NY 10801-4105
Phone
(914) 235-2137
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel Mwadkon Jama, MDNPI 1669551743
Title
President
Phone
(914) 235-2137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

432 North Ave
New Rochelle, NY 10801-4105

Mailing address

432 North Ave
New Rochelle, NY 10801-4105
Phone (914) 235-2137

National Provider Directory

National Provider Directory

Locations

432 North Ave
New Rochelle, NY 10801
Phone (914) 235-2137

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184740771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014105",
            "telephone_number": "914-235-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014105",
            "telephone_number": "914-235-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MWADKON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-235-2137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.