Jagdish C Ambwani, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME108141 Issued in FL

Practice address

1400 W State Road 434 Ste 1010
Longwood, FL 32750

Phone

(407) 644-9970

Fax

(407) 644-6926

NPI assigned

Aug 22, 2010

Sex

Male

Sole proprietor

No

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.

• One World Pediatrics

  • Pediatrics Physician
  • Longwood, FL
  • NPI 1467891531

  Pediatrics

  NPD Authorized official
• Little Angels Home Health

  • Home Health Agency
  • Longwood, FL
  • NPI 1851108930
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jagdish.ambwani.1@8655.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2020.

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1851607394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W STATE ROAD 434 STE 1010",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503817",
            "telephone_number": "407-644-9970",
            "fax_number": "407-644-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W STATE ROAD 434 STE 1010",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32750",
            "telephone_number": "407-644-9970",
            "fax_number": "407-644-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBWANI",
        "first_name": "JAGDISH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-22",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME108141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003038200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nialet Alvira
• Amatta Med Center Inc
• Bassam Amawi, M.D.
• Ambulatory Endoscopy Center of Central Florida
• Ambulatory Endoscopy Center of Central Florida, Inc.
• American Eagle Island Lake LLC
• American Muslim Social Services Inc
• Kyla Love Amezquita
• Maheshkumar Amin
• Smitaben Amin, RPH

• All providers in Longwood, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.