Organization Active NPI

Ambert Medical Care Center Corp

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1871711200
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMBERT MEDICAL CARE CENTER CORP
Practice address
15495 Eagle Nest LN
Suite 100
Miami Lakes, FL 33014-2266
Phone
(305) 556-0071
Fax
(305) 556-0021
NPI assigned
Apr 23, 2007
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ivan Lambert
Title
President
Phone
(305) 556-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

15495 Eagle Nest LN
Suite 100
Miami Lakes, FL 33014-2266

Mailing address

15495 Eagle Nest LN
Suite 100
Miami Lakes, FL 33014-2266
Phone (305) 556-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080502000152 FL Part B Supplier - Clinic/Group Practice 6204915242 Receives reassigned benefits from 4 practitioners
Practice locations: Miami Lakes, FL; Miami, FL

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1871711200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN",
            "address_2": "SUITE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142266",
            "telephone_number": "305-556-0021",
            "fax_number": "305-556-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN",
            "address_2": "SUITE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142266",
            "telephone_number": "305-556-0071",
            "fax_number": "305-556-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERT MEDICAL CARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-556-0071"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.