Provider Demographics
NPI:1215938253
Name:AMES, JONATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:AMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 KENSICO DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1009
Mailing Address - Country:US
Mailing Address - Phone:914-666-8866
Mailing Address - Fax:914-666-6777
Practice Address - Street 1:160 N MIDLAND AVE
Practice Address - Street 2:NYACK HOSPITAL
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960
Practice Address - Country:US
Practice Address - Phone:845-348-2862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174203207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4238762OtherAETNA
NY7345921OtherCIGNA
NYNORTHEASTERNAOtherCMO
NYANC270OtherOXFORD
NY040426011770OtherFIDELIS
NY10209602OtherCAREPLUS
NY174206OtherHIP
NY0101740203NY01OtherANTHEM
NY1536121OtherUNITED HEALTHCARE
NY363204OtherMVP
NY01108983Medicaid
NY10048070OtherCDPHP
NY0006424OtherGHI
NY13319642703OtherLOCAL 1199
NY1536121OtherTPA
NYN46798OtherPHS
NY13319642703OtherLOCAL 1199
NY174206OtherHIP