Individual provider Active NPI

Thien Thanh Huynh, MD

  • Ophthalmology Physician
  • New Windsor, NY
National Provider Identifier
1174597108
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
235785 Issued in NY
Practice address
140 Executive Drive
Suite 300
New Windsor, NY 12553
Phone
(845) 562-0138
Fax
(845) 562-0147
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 235785 NY Primary

Addresses

Primary practice location

140 Executive Drive
Suite 300
New Windsor, NY 12553

Mailing address

140 Executive Drive
Suite 300
New Windsor, NY 12553
Phone (845) 562-0138

Other identifiers 1

IdentifierTypeStateIssuer
02751471MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060605000139 NY Practitioner - Ophthalmology 6103837232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Ophthalmology Associates LLCGroup PAC ID 4284526203, 5 clinicians

Practice addresses (Care Compare)

140 Executive Dr
New Windsor, NY 12553-5551
Phone (845) 562-0138

Hospital & facility affiliations

  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235785NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Orange Ambulatory Surgery Center, LLC CurrentSince Sep 1, 2018 Accepting new patients
Highland Ophthalmology Associates LLC Ophthalmology CurrentSince Jul 17, 2006 Accepting new patients
Hudson Valley Eye Doctor of Optometry PC PastSince May 29, 2018 Accepting new patients
Ayman Z. Matta, M.D., P.C. Ophthalmology Past Accepting new patients

Locations

21 Laurel Ave
Ste 120
Cornwall, NY 12518
Phone (845) 458-7800

140 Executive Dr
New Windsor, NY 12553
Phone (845) 562-0138

140 Executive Dr
Ste 300
New Windsor, NY 12553
Phone (845) 562-0138

304 Fullerton Ave
Newburgh, NY 12550
Phone (844) 562-0138

Interoperability endpoints

  • Direct secure messaging: thuynh@direct.health-quest.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1174597108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 EXECUTIVE DRIVE",
            "address_2": "SUITE 300",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-562-0138",
            "fax_number": "845-562-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 EXECUTIVE DRIVE",
            "address_2": "SUITE 300",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-562-0138",
            "fax_number": "845-562-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "THIEN",
        "middle_name": "THANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "235785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02751471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.