DR. ANTHONY LOUIS D'AMBROSIO (M.D.) – Neurological Surgery Physician, NPI 1356463079

DR. ANTHONY LOUIS D'AMBROSIO (M.D.) is a healthcare provider. based in Ridgewood, New Jersey. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 220564 (NY). The NPI Number for DR. ANTHONY LOUIS D'AMBROSIO (M.D.) is 1356463079

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY LOUIS D'AMBROSIO (M.D.)
NPI
1356463079
Phone
(201) 327-8600
Address
1200 E RIDGEWOOD AVE STE 200
Enumeration Date
4 April 2007
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2013278600
Graduation Year
1999 (27 years ago)
PAC ID
9335249192
Group Practice PAC ID
2961405055
Professional Enrollment ID
I20070709000259
Address ID
NJ074503937RI1200XAVEX458
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

193 NEUROSURGERY in NJ

Provider Addresses for DR. ANTHONY LOUIS D'AMBROSIO (M.D.)

  • 1200 E RIDGEWOOD AVE STE 200

    RIDGEWOOD, NJ 074503937

    Phone: (201) 327-8600

    Fax: (201) 327-8225

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $380.

Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: SI-BONE, INC. ($100).

Total Amount

$380

General + Research + Ownership

Payments

6

Total payment records

General Amount

$380

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070709000259INeurosurgeryNJTBD
I20071112000227INeurosurgeryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961405055View full group profile
NameSpecialtyState
N E U R O S U R G E R YOR
Nurse PractitionerNY
N E U R O L O G YMI
N E U R O S U R G E R YNJ
N E U R O S U R G E R YNY
N E U R O S U R G E R YNJ
N E U R O S U R G E R YNJ
N E U R O S U R G E R YNJ
Nurse PractitionerNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What NPI should I save for DR. ANTHONY LOUIS D'AMBROSIO (M.D.)?
Save NPI 1356463079 if you need a stable reference for DR. ANTHONY LOUIS D'AMBROSIO (M.D.).
Is DR. ANTHONY LOUIS D'AMBROSIO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. ANTHONY LOUIS D'AMBROSIO (M.D.) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for DR. ANTHONY LOUIS D'AMBROSIO (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANTHONY LOUIS D'AMBROSIO (M.D.)?
The snapshot lists Ridgewood, New Jersey for DR. ANTHONY LOUIS D'AMBROSIO (M.D.); download NPPES for the complete set.
Is DR. ANTHONY LOUIS D'AMBROSIO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1356463079. Always confirm identity and privileges with the practice and licensing boards.

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