Active NPI
Tony Chieuvan Nguyen, M.D.
- Family Medicine Physician
- Leesburg, VA
National Provider Identifier
1083872675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101248741
- Practice address
- 601 Potomac Station Dr NE
Leesburg, VA 20176-1816 - Phone
- (703) 840-1396
- NPI assigned
- May 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2011-01705 | NC | |
| Family Medicine Physician | 207Q00000X | 0101248741 | VA | Primary |
| Family Medicine Physician | 207Q00000X | 25MA0901950 | NJ |
Addresses
Primary practice location
601 Potomac Station Dr NE
Leesburg, VA 20176-1816
Mailing address
PO Box 758963
Baltimore, MD 21275-8963
Phone (804) 968-5700
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA0901950 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1083872675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758963",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212758963",
"telephone_number": "804-968-5700",
"fax_number": "804-217-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 POTOMAC STATION DR NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761816",
"telephone_number": "703-840-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TONY",
"middle_name": "CHIEUVAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2011-01705",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101248741",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA0901950",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.