Lesly A D' Ambola, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB08472900 Issued in NJ

Practice address

42 E Laurel Rd Ste 1800
Stratford, NJ 08084-1338

Phone

(856) 566-6843

Fax

(856) 566-2775

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

81.15 of 100Reported as group

Quality

62.28

Promoting interoperability

100

Improvement activities

40

Cost

74.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  Internal Medicine

  Medicare reassignment NPD
• Rowansom New Jersey Institute for Successful Aging

  • Internal Medicine Physician
  • Stratford, NJ
  • NPI 1881666105
  NPD
• Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry

  • Psychiatry Physician
  • Stratford, NJ
  • NPI 1881668846
  NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1285653097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 N PARK DR APT 1005",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094630",
            "telephone_number": "856-986-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 1800",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841338",
            "telephone_number": "856-566-6843",
            "fax_number": "856-566-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D' AMBOLA",
        "first_name": "LESLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08472900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "1Q0140",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7718209",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldambola235951@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 1800",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly A Covington, CRNP
• Christopher Brian Cox, CRNP
• Stephanie Nichole Cruthirds, L.C.S.W.
• Ann L Curley, PHD, RN
• Ira M Cuttler, M.D.
• Neha Daga, DPM
• Oliwia Maria Dalek, MD
• Therese A Dallegro
• Chetna A Dave, MD
• Esther Deblinger, PH.D.

• Internal Medicine Physician in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.
• 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.