AMBAMA CLINIC PC – NPI #1205992989
Internal Medicine

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Health Care Provider Taxonomy Code for Internal Medicine

AMBAMA CLINIC PC is a provider located in BROCKTON, MA. NPPES has assigned the NPI number 1205992989 to AMBAMA CLINIC PC on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 18 years ago on Jan 18, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMBAMA CLINIC PC below.

The provider associated with this NPI number, 1205992989, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
AMBAMA CLINIC PC

NPI Number
1205992989
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMBAMA CLINIC PC
Primary location
56 COTTAGE GROVE AVE
BROCKTON, MA 02301-6347
Phone: (617) 296-0720 Fax: (617) 296-5166
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHOK PATEL
MANAGER
Phone: (617) 296-0720
Updated
Identifiers

Identifiers for AMBAMA CLINIC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD MAMAM18330
OTHERNEIGHBORHOOD HEALTH PLANMA0030542
OTHERRAILROAD MEDICARE GROUPMADA4008
OTHERTUFTS HEALTH PLANMA697380
MEDICAIDMA9728350
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0000X
- Internal Medicine / Adolescent Medicine (Primary)		 MA 52194

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.