Active NPI
Amber Autumn Nigam, P.A.
- Surgical Physician Assistant
- New Brunswick, NJ
National Provider Identifier
1770817074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00220300
- Practice address
- 409 Joyce Kilmer Ave Ste 210
New Brunswick, NJ 08901 - Phone
- (732) 418-0709
- Fax
- (732) 418-0747
- NPI assigned
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00220300 | NJ | Primary |
Addresses
Primary practice location
409 Joyce Kilmer Ave Ste 210
New Brunswick, NJ 08901
Mailing address
409 Joyce Kilmer Ave Ste 210
New Brunswick, NJ 08901-3363
Phone (732) 418-0709
Other practice location 1
1378 US Highway 206 Ste 203
Skillman, NJ 08558-1923
Phone (609) 921-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00220300 | NJ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Plastic and Reconstructive Surgeons of Central Jersey PA | Past | Accepting new patients |
Interoperability endpoints
- anigam59023@epicdirect.rwjbh.org
Organizations & group practices 1
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.
-
dba Plastic Surgery Arts
- Specialist
- New Brunswick, NJ
- NPI 1093903338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1770817074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 JOYCE KILMER AVE STE 210",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089013363",
"telephone_number": "732-418-0709",
"fax_number": "732-418-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 JOYCE KILMER AVE STE 210",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08901",
"telephone_number": "732-418-0709",
"fax_number": "732-418-0747"
}
],
"practiceLocations": [
{
"address_1": "1378 US Highway 206 Ste 203",
"address_purpose": "LOCATION",
"city": "Skillman",
"state": "NJ",
"postal_code": "085581923",
"country_code": "US",
"telephone_number": "609-921-2922",
"fax_number": "609-921-2641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIGAM",
"first_name": "AMBER",
"middle_name": "AUTUMN",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00220300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.