Active NPI
Joseph Ombalsky, MD
- Obstetrics & Gynecology Physician
- Camden, NJ
National Provider Identifier
1225023302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA07108200
- Practice address
- 1600 Haddon Ave
Camden, NJ 08103-3101 - Phone
- (856) 757-3700
- Fax
- (856) 365-7972
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA07108200 | NJ | Primary |
Addresses
Primary practice location
1600 Haddon Ave
Camden, NJ 08103-3101
Mailing address
500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8401101 | Medicaid | NJ | |
| 7009876 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07108200 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women'S Health LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
4 Shaws Cv
Ste 204
New London, CT 06320
Phone (860) 447-2377
Interoperability endpoints
- joseph.ombalsky.1@10170.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1225023302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GROVE ST",
"address_2": "SUITE 100",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351761",
"telephone_number": "856-796-9200",
"fax_number": "856-796-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HADDON AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033101",
"telephone_number": "856-757-3700",
"fax_number": "856-365-7972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMBALSKY",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA07108200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8401101",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7009876",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.