Sara John Ambatt, FNP
Individual provider Active NPI Family Nurse Practitioner · Monsey, NY
NPI 1821384892 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1821384892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F336670-1 (NY)
- Practice address
- 465 Saddle River Road
Monsey, NY 10952 - Phone
- (845) 364-6270
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York Medical Physician Associates PC
Practice addresses (Care Compare)
241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5983
Hospital & facility affiliations
- Good Samaritan Hospital of Suffern
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120329000030 | NY | Practitioner - Nurse Practitioner | 0749440733 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 465458-1 | NY | MD | Registered Nurse |
| F336670-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical Physician Associates PC | Current |
Accepting new patients | |
| New York Medical Physician Associates PC | Current |
Accepting new patients | |
| Cogent Medical Care PC | Current |
Accepting new patients | |
| Riddle Medical LLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
100 Franklin St
Poughkeepsie, NY 12601
Phone (845) 454-4000
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 465458-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | F336670-1 | NY | Yes |
Addresses
Primary practice location
465 Saddle River Road
Monsey, NY 10952
Mailing address
465 Saddle River Road
Monsey, NY 10952
Phone (845) 364-6270
Other names
- Saramma John
Other providers in Monsey, NY
- Akiva Y. Bersson DMD, PLLC
- Veronica Albo Levy
- Marie F Alexandre
- All Fresh Produce Inc
- Elaine Allinson
- Frances Sintim Amoah
- Jacklyn Eryn Anderson
- Anna Kupchik LLC
- Chava Menucha Anteby
- Nesly Antoine
All providers in Monsey, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.