Active NPI
Quan Chung Nguyen, M.D.
- Allergy Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- C1-0002745
- Practice address
- 700 Prides Xing Ste 200
Newark, DE 19713-6109 - Phone
- (302) 998-0300
- Fax
- (302) 543-8456
- NPI assigned
- Jun 29, 2006
- Last updated
- Aug 17, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | C1-0002745 | DE | Primary |
Addresses
Primary practice location
700 Prides Xing Ste 200
Newark, DE 19713-6109
Mailing address
700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone (302) 998-0300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030004391 | Other | DE | RAILROAD MEDICARE |
| 1145968B | Other | DE | CIGNA |
| 4259775 | Other | DE | AETNA |
| 480074 | Other | DE | AMERIHEATH |
| 0000040501 | Medicaid | DE | |
| 1730 | Other | DE | COVENTRY |
| 0108315000 | Other | DE | HIGHMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0002745 | DE | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy of Delaware LLC | Current | Accepting new patients |
Locations
1200 Peoples Plz
Ste 1285
Newark, DE 19702
Phone (302) 832-0145
700 Prides Xing
Ste 200
Newark, DE 19713
1401 Foulk Rd
Ste 205
Wilmington, DE 19803
1700 Shallcross Ave
Ste 1
Wilmington, DE 19806
Phone (302) 655-3239
1941 Limestone Rd
Ste 209
Wilmington, DE 19808
Phone (302) 995-2952
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.
-
- Specialist
- Newark, DE
- NPI 1386946333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1144258120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PRIDES XING STE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136109",
"telephone_number": "302-998-0300",
"fax_number": "302-543-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PRIDES XING STE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136109",
"telephone_number": "302-998-0300",
"fax_number": "302-543-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "QUAN",
"middle_name": "CHUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "DE",
"license": "C1-0002745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "030004391",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1145968B",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4259775",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEATH",
"identifier": "480074",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000040501",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "1730",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "0108315000",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.