Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amboy Medical Practice PC

Organization Body Imaging Physician · NPI 1104692672

Amboy Medical Practice PC is a Body Imaging Physician in Staten Island, New York. Works from 5 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
8
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1664
Phone: (718) 818-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1161 Victory Blvd, Staten Island, NY 10301-3621 — (718) 818-1161
  • 1058 Forest Ave, Staten Island, NY 10310-2419 — (718) 818-1058
  • 4360 Hylan Blvd, Staten Island, NY 10312-6522 — (718) 818-4360
  • 1000 South Ave, Staten Island, NY 10314-3409 — (718) 816-4949

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Body Imaging Physician Taxonomy 2085B0100X
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X
Nuclear Radiology Physician Taxonomy 2085N0904X
Pediatric Radiology Physician Taxonomy 2085P0229X
Radiation Oncology Physician Taxonomy 2085R0001X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X

Record details

NPI number1104692672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan Nelson — Director Network Revenue Cycle Oper · (718) 818-4531
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address360 Bard Ave # Ll, Staten Island, NY 10310-1666

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