Active NPI
Nguyet Thuy Duong, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 305140
- Practice address
- 8635 Queens Blvd Ste 1B
Elmhurst, NY 11373-4408 - Phone
- (718) 286-9176
- NPI assigned
- Jul 11, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305140 | NY | Primary |
Addresses
Primary practice location
8635 Queens Blvd Ste 1B
Elmhurst, NY 11373-4408
Mailing address
3336 71St St
Jackson Heights, NY 11372-1057
Phone (718) 286-9176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03435343 | Medicaid | NY |
Other names 1
- Mrs. Moon Duong
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4408
Phone (929) 312-9887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305140 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moon Adult Health NP PLLC | Adult Health | Current | Accepting new patients |
| Alicia Almendral MD PLLC | Current | Accepting new patients | |
| Cuidado Medico Y Geriatrico of Queens PC | Current | Accepting new patients |
Locations
8635 Queens Blvd
Ste 1B
Elmhurst, NY 11373
Phone (718) 533-8588
3744 75th St
Jackson Hts, NY 11372
Phone (718) 672-5529
4135 67th St
Ste MD1
Woodside, NY 11377
Phone (347) 808-9400
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- nduong675018@nychhc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/IBACBA
- https://fhir4.healow.com/fhir/r4/BHJECD/Endpoint/BHJECD
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.
-
- Adult Health Nurse Practitioner
- Elmhurst, NY
- NPI 1669065769
-
- Family Medicine Physician
- Bronx, NY
- NPI 1083930945
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1194049502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1063641074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 71ST ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721057",
"telephone_number": "718-286-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 QUEENS BLVD STE 1B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734408",
"telephone_number": "718-286-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "NGUYET",
"middle_name": "THUY",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-11",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03435343",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOON",
"last_name": "DUONG",
"prefix": "MRS.",
"credential": "NURSE PRACTITIONER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.