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

Nicole Ambrose, DO

Individual provider Urology Physician · NPI 1346801248

Nicole Ambrose, DO is an Urology in Mount Laurel, New Jersey. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2019, 7 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
7
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
NJ, PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

15000 Midlantic Dr
Mount Laurel, NJ 08054-1573
Phone: (877) 388-2778
Fax: (856) 252-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 230 N Broad St, Philadelphia, PA 19102-1121 — (215) 762-7000

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 25MB12093700 (NJ)
Urology Physician Taxonomy 208800000X · Licence OT019521 (PA)

Record details

NPI number1346801248
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2019
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2019 (7 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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