Jay Ambe Ma LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JAY AMBE MA LLC

Practice address

9316 Paragon Mills LN
Centerville, OH 45458-4184

Phone

(937) 304-8551

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Kamini Patel, MDNPI 1154395689

Title

Director

Phone

(937) 304-8551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Kamini P Patel, MD

  • Family Medicine Physician
  • Centerville, OH
  • NPI 1154395689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1326749136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9316 PARAGON MILLS LN",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454584184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9316 PARAGON MILLS LN",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454584184",
            "telephone_number": "937-304-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY AMBE MA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAMINI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-304-8551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra A Jacobs, CPNP-PC
• Denisa Despina Jacobs, RT (R)(CT), PA-C
• Haseeb Jafri, M.D.
• Sahar Jallaq, PHARMD
• Nkpoikana Isaac James
• Matthew A Jecker
• Mark S Jeffries, DO
• Maya Olivia Jeffries
• David P Jenkins
• Neola Jenkins, PT, DPT

• General Practice Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.