Gunaseelan Ambrose, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA07710100 Issued in NJ

Practice address

30 Rehill Ave
Suite 3300
Somerville, NJ 08876-2500

Phone

(908) 927-8994

Fax

(908) 927-8995

NPI assigned

Jul 26, 2005

Last updated

Sep 28, 2012By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gambrose53737@epicdirect.rwjbh.org

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.

• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Somerville, NJ
  • NPI 1538414719
  Medicare reassignment NPD
• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Hillsborough, NJ
  • NPI 1760183446
  NPD
• Northeast Surgical Group, PLLC

  • Surgery Physician
  • Hawthorne, NY
  • NPI 1548262546
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1841290517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REHILL AVE",
            "address_2": "SUITE 3300",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762500",
            "telephone_number": "908-927-8994",
            "fax_number": "908-927-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 REHILL AVE",
            "address_2": "SUITE 3300",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762500",
            "telephone_number": "908-927-8994",
            "fax_number": "908-927-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "GUNASEELAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "217173",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07710100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02166654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternatives, Inc.
• Alternatives, Inc.
• Alternatives, Inc.
• Alternatvies, Inc.
• Mary L Altonji, PHD
• Ambulatory Surgical Center of Somerville LLC (Somerset Ambulatory Surgical Center)
• Kelvin Kweku Ampem-Darko, MD
• Anabasis Psychotherapy Consultants, LLP
• Manpreet Kaur Anand, DDS
• Anchor Chiropractic and Wellness Center

• Surgery Physician in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.