Organization Active NPI

Thomas B. Nguyen, M.D., P.a.

  • Nephrology Physician
  • Boynton Beach, FL
National Provider Identifier
1235406083
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME105343 Issued in FL
Legal business name
THOMAS B. NGUYEN, M.D., P.A.
Practice address
2309 W Woolbright Rd
Suite 2
Boynton Beach, FL 33426-6366
Phone
(561) 634-7262
Fax
(561) 634-7265
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Thomas B. Nguyen, M.D.NPI 1194879460
Title
President
Phone
(561) 634-7262

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME105343 FL Primary

Addresses

Primary practice location

2309 W Woolbright Rd
Suite 2
Boynton Beach, FL 33426-6366

Mailing address

2309 W Woolbright Rd
Suite 2
Boynton Beach, FL 33426-6366
Phone (561) 634-7262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000975 FL Part B Supplier - Clinic/Group Practice 5597923805 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

2309 W Woolbright Rd
Ste 2
Boynton Beach, FL 33426
Phone (561) 634-7262

Practitioners & 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": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1235406083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W WOOLBRIGHT RD",
            "address_2": "SUITE 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266366",
            "telephone_number": "561-634-7262",
            "fax_number": "561-634-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W WOOLBRIGHT RD",
            "address_2": "SUITE 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266366",
            "telephone_number": "561-634-7262",
            "fax_number": "561-634-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS B. NGUYEN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-634-7262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME105343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.

Verify at the official NPI Registry.