AMBOY MEDICAL PRACTICE PC – NPI #1104692672
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

AMBOY MEDICAL PRACTICE PC is a radiologist located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1104692672 to AMBOY MEDICAL PRACTICE PC on November 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 AMBOY MEDICAL PRACTICE PC below.

NPI Profile for
AMBOY MEDICAL PRACTICE PC

NPI Number
1104692672
Enumeration Date

(more than 2 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
AMBOY MEDICAL PRACTICE PC
Primary location
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone: (718) 818-1234 Fax:
4 Other location(s):
1000 South Ave
Staten Island, NY 10314-3409
Phone: (718) 816-4949
Fax: (718) 370-8731
1058 Forest Ave
Staten Island, NY 10310-2419
Phone: (718) 818-1058
Fax: (855) 449-6480
1161 Victory Blvd
Staten Island, NY 10301-3621
Phone: (718) 818-1161
Fax: (855) 451-7988
4360 Hylan Blvd
Staten Island, NY 10312-6522
Phone: (718) 818-4360
Fax: (718) 317-9134
Mailing address
360 BARD AVE # LL
STATEN ISLAND, NY 10310-1666
Phone: (171) 881-8453 Fax: (347) 825-2117
Organization Subpart
No
Authorized Official
JOAN NELSON
DIRECTOR NETWORK REVENUE CYCLE OPER
Phone: (718) 818-4531
Updated
Certification Date
Nov 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.