Active NPI
Anne Felicia Ambrose, M.D.
- Physical Medicine & Rehabilitation Physician
- Lake Grove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 235243
- Practice address
- Neurology Associates of Stony Brook
4 Smith Haven Mall Suite 105
Lake Grove, NY 11755-2412 - Phone
- (631) 444-2599
- Fax
- (631) 392-7213
- NPI assigned
- Mar 10, 2006
- Last updated
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 235243 | NY | Primary |
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | 235243 | NY |
Addresses
Primary practice location
Neurology Associates of Stony Brook
4 Smith Haven Mall Suite 105
Lake Grove, NY 11755-2412
Mailing address
10 Bell Circle Road
Port Jefferson, NY 11777
Phone (631) 444-8118
Other practice location 1
5 E 98th St
Box 1240B
New York, NY 10029-6501
Phone (212) 241-9469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02588223 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2599
Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Diagnostic and Treatment Center | Current | Accepting new patients | |
| Neurology Associates of Stony Brook, University Faculty Practice Corpo | Current | Accepting new patients | |
| New York Spine & Brain Surgery, University Faculty Practice Corporatio | Past | Accepting new patients |
Locations
4 Smith Haven Mall
Ste 105
Lake Grove, NY 11755
1470 Madison Ave
#1087
New York, NY 10029
Phone (212) 241-0349
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Stony Brook, NY
- NPI 1699720888
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Clinic/Center
- New York, NY
- NPI 1669476156
-
- Neurological Surgery Physician
- Stony Brook, NY
- NPI 1154376309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1346218880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BELL CIRCLE ROAD",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "11777",
"telephone_number": "631-444-8118",
"fax_number": "631-392-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEUROLOGY ASSOCIATES OF STONY BROOK",
"address_2": "4 SMITH HAVEN MALL SUITE 105",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552412",
"telephone_number": "631-444-2599",
"fax_number": "631-392-7213"
}
],
"practiceLocations": [
{
"address_1": "5 E 98th St",
"address_2": "Box 1240B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296501",
"country_code": "US",
"telephone_number": "212-241-9469",
"fax_number": "212-369-6389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMBROSE",
"first_name": "ANNE",
"middle_name": "FELICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2024-12-18",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "235243",
"primary": true
},
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": "NY",
"license": "235243",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02588223",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Grove, NY
- Nancy Allegretti, LMHC, MA, MS
- Julio C Almeyda, PHYSICIAN ASSISTANT
- Sonia Cristina Alonso Obregon, MS SLP
- Robin Alster
- Saul Junior Alvarez, LAC, LMT
- Roberto Antonacci, M.D.
- Iesha Arfeen, MD
- Doreen Armstrong, LMHC
- Aspire Mental Health Counseling P.C. (Aspire Mental Health Services)
- Atd Technology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.