Active NPI
Jebamoni Ambrose M.D.P.a.
- Internal Medicine Physician
- Hillsborough, NJ
National Provider Identifier
1962727867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25573
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2731100 | Medicaid | NJ |
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.