JENNIFER AMBROSE (NPI# 1144772039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144772039 |
| Entity Type | Individual |
| Full Name | JENNIFER AMBROSE |
| Practice Address |
8393 Elta Dr Cicero NY 13039-8958 |
| Mailing Address |
110 W Utica St Oswego NY 13126-3047 |
| Practice Telephone | 3156980290 |
| Practice Fax Number | 3156980291 |
| Mailing Telephone | 3153422024 |
| Mailing Fax Number | 3153435317 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 020229 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 020229-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1144772039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760849848 | Jennifer Lee Ambrose | Registered Nurse | 17 Lansing St, Auburn, NY 13021-1983 | 2016-01-21 |
| 1013147693 | Jennifer Rae Ambrose | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Suite 222, Anchorage, AK 99508-5229 | 2009-07-17 |
| Street Address |
8393 ELTA DR |
| City | CICERO |
| State | NY |
| Zip Code | 13039-8958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238212 | Cody Hodgson | Physician Assistant | 6993 Van Antwerp Drive, East, Cicero, NY 13039 | 2019-08-01 |
| 1164989810 | Emily Grace Massey | Occupational Therapy Assistant | 5962 Rte 31, Cicero, NY 13039 | 2019-02-28 |
| 1356837512 | Jennifer Lonnen Dds Pllc | Dentist | 6221 Rt 31 Ste 102, Cicero, NY 13039 | 2018-07-10 |
| 1285186916 | Bismarck Np Psychiatric Services Pllc | Nurse Practitioner | 6221 Route 31, Suite 106, Cicero, NY 13039 | 2016-10-28 |
| 1386090397 | Kristin Raineri | Dentist | 5972 Rt 31, Cicero, NY 13039 | 2016-05-09 |
| 1053788281 | Empire Vision Center, Inc | Eyewear Supplier (Equipment, not the service) | 5653 East Circle Drive, Cicero, NY 13039 | 2015-08-24 |
| 1003251018 | Christina M Smith | Licensed Practical Nurse | 8449 Bayridge Rd, Cicero, NY 13039 | 2013-05-03 |
| 1134463433 | Margaret L Southard | Case Manager/Care Coordinator | 5962 Rt 31, Suite 7 Box 10, Cicero, NY 13039 | 2012-11-27 |
| 1245589852 | Samantha Danielle Dillon | Pharmacist | 8061 Brewerton Road, Cicero, NY 13039 | 2012-08-29 |
| 1861769168 | Laura Shaw | Counselor | 6221 Rt. 31, Suite 110, Cicero, NY 13039 | 2011-11-30 |
| Find all providers in zip 13039 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405772 | Brian Spies | Physician Assistant | 5801 Sutton Dr, Cicero, NY 13039-9546 | 2020-10-22 |
| 1780238212 | Cody Hodgson | Physician Assistant | 6993 Van Antwerp Drive, East, Cicero, NY 13039 | 2019-08-01 |
| 1295272367 | Jhad Mozeb | Physician Assistant | 6277 Addison Loomis, Cicero, NY 13039-8685 | 2017-01-26 |
| 1346502408 | Diane Lorraine Stadtmiller | Physician Assistant | 6112 Cobblestone Dr, Suite F8, Cicero, NY 13039-9001 | 2012-06-13 |
| 1619980976 | Laurel Anne Delorme | Physician Assistant | 8003 Brewerton Rd, Cicero, NY 13039-9528 | 2006-08-15 |
| 1295713592 | Mark A Mazzye Sr. | Physician Assistant | 5586 Legionnaire Dr, Suite 1, Cicero, NY 13039-3504 | 2006-01-06 |
| 1912994054 | Naveed Hyderi | Physician Assistant | 5817 W Cermak Rd, Cicero, IL 60804-2132 | 2005-10-04 |
| 1003215047 | David Henry | Physician Assistant | 509 N Peru St, Cicero, IN 46034-9499 | 2014-08-15 |
| 1740555044 | Gittel Mindick | Physician Assistant | 6001 W Cermak Rd, Cicero, IL 60804-2018 | 2012-03-20 |
| 1861655896 | Brynne Kathleen Nosko | Physician Assistant | 5586 Legionnaire Dr, Suite 1, Cicero, NY 13039-3504 | 2008-07-09 |
| Find all providers in CICERO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.