Active NPI
Amber Stone Medical PC
- Rheumatology Physician
- Melville, NY
National Provider Identifier
1548020357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- AMBER STONE MEDICAL PC
- Practice address
- 115 Broadhollow Rd Ste 10
Melville, NY 11747-4992 - Phone
- (631) 990-4352
- NPI assigned
- Mar 20, 2024
- Last updated
- Mar 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anabell Morales
- Title
- Book Keeper
- Phone
- (212) 877-5500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary | ||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
115 Broadhollow Rd Ste 10
Melville, NY 11747-4992
Mailing address
115 Broadhollow Rd Ste 10
Melville, NY 11747-4992
Phone (631) 990-4352
National Provider Directory
National Provider DirectoryLocations
115 Broadhollow Rd
Ste 10
Melville, NY 11747
Phone (631) 969-6422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1548020357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BROADHOLLOW RD STE 10",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474992",
"telephone_number": "631-990-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BROADHOLLOW RD STE 10",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474992",
"telephone_number": "631-990-4352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBER STONE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "MORALES",
"authorized_official_first_name": "ANABELL",
"authorized_official_title_or_position": "BOOK KEEPER",
"authorized_official_telephone_number": "212-877-5500"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.