Active NPI
Minh Duong, M.S. O.T.R./L.
- Specialist
- Brooklyn, NY
National Provider Identifier
1023268455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 012639-1
- Practice address
- 8894 18TH Ave
Brooklyn, NY 11214-6002 - Phone
- (717) 331-3353
- NPI assigned
- Sep 22, 2008
- Last updated
- Sep 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 012639-1 | NY | Primary |
Addresses
Primary practice location
8894 18TH Ave
Brooklyn, NY 11214-6002
Mailing address
8894 18TH Ave
Brooklyn, NY 11214-6002
Phone (718) 331-3353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012639-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Care Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1447526090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1023268455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8894 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146002",
"telephone_number": "718-331-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8894 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146002",
"telephone_number": "717-331-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "MINH",
"credential": "M.S. O.T.R./L.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "012639-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.