Organization Active NPI

Amber Stone Medical PC

  • Rheumatology Physician
  • Melville, NY
National Provider Identifier
1548020357
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.