Active NPI
Thien Long, LLC
- Internal Medicine Physician
- Gaithersburg, MD
National Provider Identifier
1174801609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0063163
- Legal business name
- THIEN LONG, LLC
- Practice address
- 4 Professional Dr Ste 133
Gaithersburg, MD 20879-3426 - Phone
- (301) 974-9625
- NPI assigned
- Aug 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Nguyen
- Title
- Physician
- Phone
- (301) 569-6176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0063163 | MD | Primary |
Addresses
Primary practice location
4 Professional Dr Ste 133
Gaithersburg, MD 20879-3426
Mailing address
4 Professional Dr
Suite 133
Gaithersburg, MD 20879-3407
Phone (301) 974-9625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1174801609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PROFESSIONAL DR",
"address_2": "SUITE 133",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793407",
"telephone_number": "301-974-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PROFESSIONAL DR STE 133",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793426",
"telephone_number": "301-974-9625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIEN LONG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-02",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "301-569-6176"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0063163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.