Individual provider Active NPI

Lawrence Ambrose, M.D.

  • Specialist
  • Wayne, NJ
National Provider Identifier
1225018443
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA40369 Issued in NJ
Practice address
1777 Hamburg Tpke
Suite 203
Wayne, NJ 07470-5211
Phone
(973) 839-8700
Fax
(973) 839-1681
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA40369 NJ Primary

Addresses

Primary practice location

1777 Hamburg Tpke
Suite 203
Wayne, NJ 07470-5211

Mailing address

1777 Hamburg Tpke
Suite 203
Wayne, NJ 07470-5211
Phone (973) 839-8700

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA40369NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Arthritis & Rheumatology Associates, LLC Past Accepting new patients
North Jersey Center for Arthritis & Osteoporosis Specialist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1225018443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "SUITE 203",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "973-839-8700",
            "fax_number": "973-839-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "SUITE 203",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "973-839-8700",
            "fax_number": "973-839-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA40369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.