NICOLE AMBROSE DO
NPI 1346801248
Urology in Mount Laurel, NJ

Active since June 22, 2019PECOS EnrolledAccepts Medicare Assignment
15000 MIDLANTIC DR, MOUNT LAUREL, NJ 08054(877) 388-2778(856) 252-1100 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2024, Jun 22, 2019 (2 updates tracked since 2019).

About Nicole Ambrose Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE AMBROSE DO (NPI 1346801248) is an individual urology provider in Mount Laurel, New Jersey, licensed in New Jersey (25MB12093700) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1346801248
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameNICOLE AMBROSECredential: DO
Location Address15000 MIDLANTIC DRMount Laurel, NJ 08054-1573
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(856) 252-1100
Sole ProprietorNo
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2019
Enumeration DateJune 22, 2019
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
NPI 1346801248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NJ · 25MB12093700 Licensed in PA · OT019521
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

15000 MIDLANTIC DR, Mount Laurel, NJ 08054

Secondary Practice Location 1

Location 1230 N Broad StPhiladelphia, PA 19102-1121 · Phone (215) 762-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Ambrose Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345777652
PECOS Enrollment IDI20241227002358
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218a Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
15000 MIDLANTIC DR
MOUNT LAUREL, NJ 08054
Social Worker (Clinical)
15000 MIDLANTIC DR
MOUNT LAUREL, NJ 08054
Internal Medicine (Gastroenterology)
15000 MIDLANTIC DR, SUITE 110
MOUNT LAUREL, NJ 08054
Pain Medicine (Pain Medicine)
15000 MIDLANTIC DR
MOUNT LAUREL, NJ 08054
Social Worker (Clinical)
15000 MIDLANTIC DR, SUITE 101
MOUNT LAUREL, NJ 08054
Dietitian, Registered
15000 MIDLANTIC DR
MOUNT LAUREL, NJ 08054
Counselor (Mental Health)
15000 MIDLANTIC DR, SUITE 101
MOUNT LAUREL, NJ 08054
Counselor (Professional)
15000 MIDLANTIC DR
MOUNT LAUREL, NJ 08054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346801248, enumerated as an "individual" on June 22, 2019.

The provider is located at 15000 MIDLANTIC DR MOUNT LAUREL, NJ 08054 and the phone number is (877) 388-2778.

Urology with taxonomy code 208800000X.

Nicole Ambrose is affiliated with: WEST JERSEY HOSPITAL, VIRTUA OUR LADY OF LOURDES HOSPITAL, VIRTUA MOUNT HOLLY HOSPITAL and VIRTUA WILLINGBORO HOSPITAL.