Active NPI
Ha T Nguyen
- Gerontology Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 340636-1
- Practice address
- Evercare
1 Penn Plaza, 7TH FL, Ste. 725
New York, NY 10119 - Phone
- (212) 216-6831
- Fax
- (212) 216-6606
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 340636-1 | NY | Primary |
Addresses
Primary practice location
Evercare
1 Penn Plaza, 7TH FL, Ste. 725
New York, NY 10119
Mailing address
Evercare
1 Penn Plaza, 7TH FL, Ste. 725
New York, NY 10119
Phone (212) 216-6831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340636-1 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients |
Locations
594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680
50 Water St
Fl 3
New York, NY 10004
Interoperability endpoints
- hnguyen852250@nychhc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
-
dba Dr. Susan Smith McKinney Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1184632945
-
dba Henry J. Carter Specialty Hospital
- Clinic/Center
- New York, NY
- NPI 1538943469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053489054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVERCARE",
"address_2": "1 PENN PLAZA, 7TH FL, STE. 725",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10119",
"telephone_number": "212-216-6831",
"fax_number": "212-216-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVERCARE",
"address_2": "1 PENN PLAZA, 7TH FL, STE. 725",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10119",
"telephone_number": "212-216-6831",
"fax_number": "212-216-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HA",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "340636-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.