Individual provider Active NPI

George J Ambrosio, M.D.

  • Internal Medicine Physician
  • Verona, NJ
National Provider Identifier
1669564431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA037714 Issued in NJ
Practice address
50 Pompton Ave
Verona, NJ 07044-2917
Phone
(973) 857-3400
Fax
(973) 857-7034
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA037714 NJ Primary

Addresses

Primary practice location

50 Pompton Ave
Verona, NJ 07044-2917

Mailing address

50 Pompton Ave
Verona, NJ 07044-2917
Phone (973) 857-3400

Other identifiers 6

IdentifierTypeStateIssuer
514375OtherNJAETNA
AMERIHEALTHOtherNJ402466
EP214OtherNJOXFORD
OK2192OtherNJHEALTHNET
110086025OtherNJRAIL ROAD MEDICARE
07D661OtherNJWELL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000306 NJ Practitioner - Internal Medicine 7517990252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Care Medical Group, IncGroup PAC ID 2062407893, 4 clinicians

Practice addresses (Care Compare)

50 Pompton Ave
Verona, NJ 07044-2917
Phone 9738573400200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA037714NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Group, Inc Internal Medicine CurrentSince Jan 1, 1989 Accepting new patients
First Care Medical Group, Inc Internal Medicine CurrentSince Jan 1, 1984 Accepting new patients
First Care Medical Group, Inc Internal Medicine Past Accepting new patients
First Care Medical Group Inc Past Accepting new patients

Locations

750 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 896-0900

50 Pompton Ave
Verona, NJ 07044
Phone (973) 857-3400

Interoperability endpoints

  • Direct secure messaging: gambrosio@firstcare.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.135001

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669564431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-857-3400",
            "fax_number": "973-857-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-857-3400",
            "fax_number": "973-857-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSIO",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA037714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "514375",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "402466",
            "identifier": "AMERIHEALTH",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "EP214",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OK2192",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110086025",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CHOICE",
            "identifier": "07D661",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.