Individual provider Active NPI

Ambalavaner Krishnamoorthy, M.D.

  • Maternal & Fetal Medicine Physician
  • Pennington, NJ
National Provider Identifier
1679634968
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MA53719 Issued in NJ
Practice address
1 Capital Way
Pennington, NJ 08534-2520
Phone
(609) 537-7252
Fax
(609) 537-6070
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MA53719 NJ Primary

Addresses

Primary practice location

1 Capital Way
Pennington, NJ 08534-2520

Mailing address

1 Auer CT
Suite a &B
East Brunswick, NJ 08816-5823
Phone (732) 390-1020

Other practice location 1

1 Auer Ct
suite a &b
East Brunswick, NJ 08816-5823
Phone (732) 390-1020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ambalavaner.krishnamoorthy.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200224002282 NJ Practitioner - Obstetrics/Gynecology 1355778713 Reassigns benefits to 3 organizations
I20240530001227 NY Practitioner - Obstetrics/Gynecology 1355778713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Sono, LLCGroup PAC ID 9739365610, 4 clinicians

Practice addresses (Care Compare)

1323 Stuyvesant Ave
Union, NJ 07083-5380
Phone (201) 677-2490

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA53719NJMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Sono, LLC Maternal & Fetal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Capital Health Medical Group Maternal & Fetal Medicine CurrentSince Jan 11, 2020 Accepting new patients
Envision MFM LLC Maternal & Fetal Medicine PastSince Jul 21, 2024 Accepting new patients
High Risk Pregnancy Center of New Jersey P.C. Past Accepting new patients

Locations (25 of 34)

985 Paulison Ave
Clifton, NJ 07011
Phone (973) 471-2000

424 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-3700

118 South Ave E
Cranford, NJ 07016
Phone (908) 276-7333

4 Ethel Rd
Ste 402
Edison, NJ 08817
Phone (732) 287-3643

312 Professional View Dr
Freehold, NJ 07728

312 Professional View Dr
Bldg 300
Freehold, NJ 07728
Phone 7324311616 ext. 418

397 Haledon Ave
Haledon, NJ 07508
Phone (973) 427-0023

2080 State Route 35
Ste 1
Holmdel, NJ 07733
Phone (732) 241-3725

4697 Route 9 N
Howell, NJ 07731
Phone (732) 901-2928

3185 John F Kennedy Blvd
#2
Jersey City, NJ 07306
Phone (240) 988-8808

35 Journal Sq
Ste 829
Jersey City, NJ 07306
Phone (201) 321-2313

921 E County Line Rd
Lakewood, NJ 08701
Phone (732) 370-8500

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

521 Newman Springs Rd
Ste 12
Lincroft, NJ 07738
Phone (732) 747-0022

200 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 741-3331

831 Tennent Rd
Manalapan, NJ 07726
Phone (732) 536-7144

1973 Springfield Ave
Maplewood, NJ 07040
Phone (973) 313-2501

109 Valley Rd
Montclair, NJ 07042
Phone (908) 677-2490

200 Sheffield St
Ste 313
Mountainside, NJ 07092
Phone (732) 947-2631

465 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 483-3640

2 Sears Dr
Paramus, NJ 07652
Phone (201) 261-0077

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

17 Sylvan St
Ste 201
Rutherford, NJ 07070
Phone (201) 438-0539

9 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 246-2280

193 Mountain Ave
Ste 104
Springfield, NJ 07081

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1679634968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AUER CT",
            "address_2": "SUITE A &B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165823",
            "telephone_number": "732-390-1020",
            "fax_number": "732-390-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAPITAL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342520",
            "telephone_number": "609-537-7252",
            "fax_number": "609-537-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Auer Ct",
            "address_2": "suite a &b",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088165823",
            "country_code": "US",
            "telephone_number": "732-390-1020",
            "fax_number": "732-390-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAMOORTHY",
        "first_name": "AMBALAVANER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "MA53719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ambalavaner.krishnamoorthy.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Capital Way",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.