Ambiance Aderson, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP017206 Issued in PA

Practice address

127 N. Broad St.
Woodbury, NJ 08096

Phone

(856) 845-5344

Fax

(856) 537-7686

NPI assigned

Sep 4, 2017

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 names 1

• Ambiance Munnings Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Wound Care Services- Florida PAGroup PAC ID 9830694199, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJECCD

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.

• Mobile Wound Care Services - Florida PA

  • Specialist
  • Lauderhill, FL
  • NPI 1023803400
  Medicare reassignment Care Compare group NPD
• Advanced Vascular Associates, Inc.

  • Surgery Physician
  • Woodbury, NJ
  • NPI 1154402154
  NPD
• Advanced Vascular and Wound Associates Inc

  • Internal Medicine Physician
  • Darby, PA
  • NPI 1205376381
  NPD (past)

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504483200000",
    "number": "1316465958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 GREENE ST APT 515",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "786-423-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N. BROAD ST.",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-845-5344",
            "fax_number": "856-537-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERSON",
        "first_name": "AMBIANCE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-04",
        "last_updated": "2017-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP017206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBIANCE",
            "last_name": "MUNNINGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• 1-800-L Care 4 U
• Able Imaging, Inc.
• Acenda, Inc.
• Acenda, Inc.
• Advanced Anesthesia and Pain
• Advanced Orthopaedic Centers PA
• Advanced Podiatric Services
• Advanced Spine and Pain, LLC (Relievus)
• Advanced Vascular Associates, Inc.

• Primary Care Nurse Practitioner in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2017; 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.