John J Ambrosino, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

278100 Issued in NY

Practice address

117 Marys Ave
Suite 202
Kingston, NY 12401-5849

Phone

(845) 338-1992

Fax

(845) 338-1614

NPI assigned

Nov 18, 2005

Last updated

May 27, 2015By 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

Enrolled in PA, OH2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jambros1@direct.health-quest.org
• Direct secure messaging: jambrosino@direct.excelahealth.org
• Direct secure messaging: john.ambrosino.2@33638.direct.athenahealth.com

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.

• Excela Health Physician Practices, Inc

  dba Excela Health Cardiology

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment NPD
• Steward Medical Group Inc.

  • Internal Medicine Physician
  • Brookfield, OH
  • NPI 1902347438

  PA

  Medicare reassignment NPD
• Tenor Health Foundation Sharon, LLC

  dba Sharon Regional Medical Center

  • Psychiatric Hospital Unit
  • Sharon, PA
  • NPI 1659182269
  Medicare reassignment NPD
• Excela Health Physician Practices, Inc.

  dba Walk-in Clinic

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD
• Excela Health Physician Practices, Inc.

  dba Excela Health ENT

  • Otolaryngology Physician
  • Greensburg, PA
  • NPI 1578814174
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Tenor Health Foundation Sharon, LLC

  • Internal Medicine Physician
  • Sharon, PA
  • NPI 1669268728
  NPD
• Israel Schur MD PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1962917492
  NPD (past)
• Cardiothoracic Surgical Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Greensburg, PA
  • NPI 1164404653
  NPD (past)
• New England Chiropractic, LLC

  dba NECC Chiropractic and Rehabilitation

  • Chiropractor
  • Brockton, MA
  • NPI 1184948085
  NPD (past)
• Signature Healthcare Medical Group Inc

  dba Signature Medical

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1508804949
  NPD (past)
• Tenor Health Foundation Sharon, LLC

  dba Sharon Family Medicine Center

  • Rural Health Clinic/Center
  • Mercer, PA
  • NPI 1760296859
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1821070327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MC 157",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MARYS AVE",
            "address_2": "SUITE 202",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015849",
            "telephone_number": "845-338-1992",
            "fax_number": "845-338-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSINO",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "278100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04059683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deirdre Altman, MS, CCC-SLP
• Hope Gabrielle Alvarado, COTA/L
• Yonna Marie Alvarez, R.N.
• Always There Homecare
• Ambient
• Anderson Medical P.C. Dba Emergency One
• Ferdinand Anderson Jr., M.D.
• Marlene Anderson
• Ann Andola, MD
• Simone Andolina, M.S.W.

• Vascular Surgery Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.