AMBOY MEDICAL PRACTICE PC
NPI 1104692672
Radiology - Diagnostic Radiology in Staten Island, NY
About Amboy Medical Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBOY MEDICAL PRACTICE PC (NPI 1104692672) is a healthcare organization registered as a diagnostic radiology in Staten Island, New York and active in the NPI registry since November 2023. The organization maintains 4 additional practice locations and lists Joan Marie Nelson, Director Network Revenue Cycle Oper, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Secondary Practice Locations 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amboy Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
335Medicare enrollment records show 335 clinicians reassign Medicare billing to Amboy Medical Practice PC, which bills Medicare for the services they deliver. Of these, 37 practice at this address and 213 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 39
Nearest to this location (20)
See all 335Staten Island, NY 10310
Staten Island, NY 10310
Staten Island, NY 10310
Staten Island, NY 10310
Staten Island, NY 10310
Staten Island, NY 10310
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amboy Medical Practice PC's NPI number?
The NPI number for Amboy Medical Practice PC is 1104692672. It was assigned to this organization in the NPPES registry on November 27, 2023.
Where is Amboy Medical Practice PC located?
Amboy Medical Practice PC is located at 355 Bard Ave, Staten Island, NY 10310. The listed phone number is (718) 818-1234.
What is Amboy Medical Practice PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Amboy Medical Practice PC enrolled in Medicare?
Yes. Amboy Medical Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amboy Medical Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 335 clinicians in 39 Medicare specialties reassign their Medicare billing to Amboy Medical Practice PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (49), Pediatric Medicine (32) and Psychiatry (31). Of these, 37 practice at this address and 213 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Amboy Medical Practice PC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amboy Medical Practice Pc · NPI 1104692672
Diagnostic Radiology organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since November 27, 2023.
## Identity
- **NPI:** 1104692672 (Entity type: Organization)
- **Enumerated:** November 27, 2023
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Joan Nelson, DIRECTOR NETWORK REVENUE CYCLE OPER
## Practice location
- **Address:** 355 BARD AVE, Staten Island, NY 10310-1664
- **Phone:** (718) 818-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 335 clinicians in 39 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (49), Pediatric Medicine (32), Psychiatry (31); 37 practice at this address and 213 within 10 miles; [full list](https://npiprofile.com/npi/1104692672/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104692672) · Data from the CMS NPPES public registry.