Active NPI
Samuel Henry Taylor-D'Ambrosio, BSN, RN, MSN, PNP-PC
- Pediatric Nurse Practitioner
- New York, NY
National Provider Identifier
1871389148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 383726
- Practice address
- 505 E 70TH St
New York, NY 10021-4872 - Phone
- (646) 962-3442
- NPI assigned
- Apr 15, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 383726 | NY | Primary |
Addresses
Primary practice location
505 E 70TH St
New York, NY 10021-4872
Mailing address
677 Vanderbilt Ave Apt 3a
Brooklyn, NY 11238-4440
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
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 383726 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell University Medical College | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745107200000",
"number": "1871389148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 VANDERBILT AVE APT 3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214872",
"telephone_number": "646-962-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-D'AMBROSIO",
"first_name": "SAMUEL",
"middle_name": "HENRY",
"credential": "BSN, RN, MSN, PNP-PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-20",
"certification_date": "2025-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.