Individual provider Active NPI

Trang Bichngoc Nguyen, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Hampton Bays, NY
National Provider Identifier
1225343361
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
269415 Issued in NY
Practice address
186 W Montauk Hwy Ste D11
Hampton Bays, NY 11946-4205
Phone
(631) 204-5400
Fax
(631) 204-5401
NPI assigned
Aug 12, 2010
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 269415 NY Primary

Addresses

Primary practice location

186 W Montauk Hwy Ste D11
Hampton Bays, NY 11946-4205

Mailing address

186 W Montauk Hwy Ste D11
Hampton Bays, NY 11946-4205
Phone (631) 204-5400

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
I20140207000696 NY Practitioner - Osteopathic Manipulative Medicine 4486883758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

186 W Montauk Hwy
Suite D11
Hampton Bays, NY 11946-4205
Phone (631) 204-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269415NYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1-2-3 Osteopathy PC Neuromusculoskeletal Medicine & Omm CurrentSince Sep 20, 2013 Accepting new patients

Locations

186 W Montauk Hwy
Ste D11
Hampton Bays, NY 11946
Phone (631) 204-5400

33 Flying Point Rd
Ste 123
Southampton, NY 11968
Phone (631) 287-9696

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.

Hospital & facility affiliations 6

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1225343361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 W MONTAUK HWY STE D11",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464205",
            "telephone_number": "631-204-5400",
            "fax_number": "631-204-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W MONTAUK HWY STE D11",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464205",
            "telephone_number": "631-204-5400",
            "fax_number": "631-204-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRANG",
        "middle_name": "BICHNGOC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "269415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.