Maria Dicenso Ambrose, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

256546 Issued in MA

Practice address

300 Longwood Ave
Plastic Surgery Dept. Hunnewell One
Boston, MA 02115-5724

Phone

(617) 355-6919

Fax

(617) 738-1657

NPI assigned

Jun 2, 2008

Last updated

Jul 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: mambrose26455@direct.bostonchildrens.org

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1932368362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "PLASTIC SURGERY DEPT. HUNNEWELL ONE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6919",
            "fax_number": "617-738-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "PLASTIC SURGERY DEPT. HUNNEWELL ONE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6919",
            "fax_number": "617-738-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "MARIA",
        "middle_name": "DICENSO",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "256546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mythri Ambatipudi
• Shray P Ambe, MD
• Louise Ambler Osborn, CPNP
• Kyasha Ambroise
• Alan Ambrose
• Paul Robert Ambrose, PA-C
• Lucia Ambrosio, MD PHD
• Maura Ann Ament, PT DPT
• Maithri F Ameresekere, MD, MSC
• American Liver and Metabolic Center

• Pediatric Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.