Paul Ambrosini, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD041072E Issued in PA

Practice address

4641 Roosevelt Blvd
Suite C229
Philadelphia, PA 19124-2343

Phone

(215) 831-4811

Fax

(215) 831-2603

NPI assigned

Jun 13, 2006

Last updated

Nov 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1700828506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MARTIN GROSS DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471616",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "address_2": "SUITE C229",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "215-831-4811",
            "fax_number": "215-831-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSINI",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD041072E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001136540",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta S Ambrose, MD
• Riley Elizabeth Ambrose, CRNP
• Timothy Michael Ambrose, M.D.
• Aarthi Kamala Ambrosi
• Amy Lynn Ambrosini, CRNP
• Maxwell Ambrosino, DO
• Michele Ann Ambrosino, CRNP
• Ambulance Express Inc (Medstar EMS)
• Ambulance Express Inc (Medstar EMS)
• Ambulance of America Inc

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.