Individual provider Active NPI

Han Ngoc Nguyen, M.D.

  • Infectious Disease Physician
  • Maywood, NJ
National Provider Identifier
1164606158
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA08081600 Issued in NJ
Practice address
255 W. Spring Valley Ave
Suite 100
Maywood, NJ 07601-1323
Phone
(201) 881-0107
NPI assigned
Dec 26, 2007
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA08081600 NJ Primary

Addresses

Primary practice location

255 W. Spring Valley Ave
Suite 100
Maywood, NJ 07601-1323

Mailing address

255 W. Spring Valley Ave
Suite 100
Maywood, NJ 07601-1323
Phone (201) 881-0107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000411 NJ Practitioner - Infectious Disease 3870651698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 W Spring Valley Ave
Suite 202
Maywood, NJ 07607-1444
Phone (201) 881-0107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates of Northern New Jersey LLC Infectious Disease CurrentSince Mar 18, 2008 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2014 Accepting new patients

Locations

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

255 W Spring Valley Ave
Ste 100
Maywood, NJ 07607
Phone (201) 291-1010

255 W Spring Valley Ave
Ste 202
Maywood, NJ 07607
Phone (201) 289-5906

Interoperability endpoints

  • Direct secure messaging: han.nguyen@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1164606158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W. SPRING VALLEY AVE",
            "address_2": "SUITE 100",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076011323",
            "telephone_number": "201-881-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W. SPRING VALLEY AVE",
            "address_2": "SUITE 100",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076011323",
            "telephone_number": "201-881-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAN",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA08081600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.