Individual provider Active NPI

Ambre Kuzma

  • Lactation Consultant (Registered Nurse)
  • Penfield, NY
National Provider Identifier
1992504310
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
717075 Issued in NY
Practice address
43 Willow Pond Way Ste 200
Penfield, NY 14526-2638
Phone
(585) 377-5420
Fax
(585) 377-3690
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 717075 NY Primary

Addresses

Primary practice location

43 Willow Pond Way Ste 200
Penfield, NY 14526-2638

Mailing address

43 Willow Pond Way Ste 200
Penfield, NY 14526-2638
Phone (585) 377-5420

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

State licenses

LicenseStateTypeSpecialty
717075NYMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Penfield Obstetrics and Gynecology LLP CurrentSince Mar 20, 2025 Accepting new patients
Rochester General Hospital PastSince Mar 20, 2025 Accepting new patients

Locations

43 Willow Pond Way
Ste 200
Penfield, NY 14526
Phone (585) 377-5420

Interoperability endpoints

  • Direct secure messaging: akuzma@penfieldobgyn.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1992504310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY STE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY STE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "AMBRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "717075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.