Organization Active NPI

Jebamoni Ambrose M.D.P.a.

  • Internal Medicine Physician
  • Hillsborough, NJ
National Provider Identifier
1962727867
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25573 Issued in NJ
Legal business name
JEBAMONI AMBROSE M.D.P.A.
Practice address
245 Route 206
Hillsborough, NJ 08844-4139
Phone
(908) 874-4422
Fax
(908) 874-8077
NPI assigned
Apr 2, 2010
Organization subpart
Yes
Parent organization
JEBAMONI AMBROSE M.D.P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Authorized official

Name
Jebamoni Ambrose, M.D.
Title
President
Phone
(908) 874-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25573 NJ Primary

Addresses

Primary practice location

245 Route 206
Hillsborough, NJ 08844-4139

Mailing address

245 Route 206
Hillsborough, NJ 08844-4139
Phone (908) 874-4422

Other identifiers 1

IdentifierTypeStateIssuer
2731100MedicaidNJ

National Provider Directory

National Provider Directory
Part of
Jebamoni Ambrose Mdpa

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1962727867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444139",
            "telephone_number": "908-874-4422",
            "fax_number": "908-874-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444139",
            "telephone_number": "908-874-4422",
            "fax_number": "908-874-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBAMONI AMBROSE M.D.P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEBAMONI AMBROSE M.D.P.A.",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "JEBAMONI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-874-4422",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2731100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.