Individual provider Active NPI

Myanh Thi Nguyen

  • Family Nurse Practitioner
  • Newtown, PA
National Provider Identifier
1235495276
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012081 Issued in PA
Practice address
200 S Lincoln Ave
Newtown, PA 18940-2120
Phone
(609) 712-1219
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP012081 PA
Family Nurse Practitioner 363LF0000X 26NJ00368000 NJ
Family Nurse Practitioner 363LF0000X SP012081 PA Primary

Addresses

Primary practice location

200 S Lincoln Ave
Newtown, PA 18940-2120

Mailing address

200 S Lincoln Ave
Newtown, PA 18940-2120
Phone (856) 356-4924

Other practice location 1

20 S Black Horse Pike
Runnemede, NJ 08078
Phone (856) 536-1650

Other practice location 2

20 S Black Horse Pike
Runnemede, NJ 08078
Phone (856) 536-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120822000445 PA Practitioner - Nurse Practitioner 5193972461 Reassigns benefits to 1 organization
I20141216001719 NJ Practitioner - Nurse Practitioner 5193972461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Pennsylvania LLCGroup PAC ID 5395827307, 84 clinicians
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

1034 2ND St Pike
Richboro, PA 18954-1863
Phone (866) 389-2727

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 398-2727

1776 E Lancaster Ave
Paoli, PA 19301-1550
Phone (866) 389-2727

1776 Lancaster Ave
Paoli, PA 19301-1550
Phone (866) 389-2727

200 S Lincoln Ave
Newtown, PA 18940-2120
Phone (866) 389-2727

2400 Butler Pike
Plymouth Meeting, PA 19462-1411
Phone (866) 389-2727

3265 County Line Rd
Chalfont, PA 18914-3712
Phone (866) 389-2727

504 White Horse Pike
Haddon Heights, NJ 08035-1709
Phone (856) 546-7990

840 S Valley Forge Rd
Lansdale, PA 19446-4242
Phone (866) 398-2727

920 Bethlehem Pike
Erdenheim, PA 19038-7702
Phone (866) 389-2727

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00368000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA CurrentSince Oct 7, 2014 Accepting new patients
Cooper Family Medicine, PC CurrentSince May 6, 2021 Accepting new patients
Cooper Family Medicine PC CurrentSince May 6, 2021 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Jul 20, 2012 Accepting new patients

Locations

1 Federal St
#200
Camden, NJ 08103

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

20 S Black Horse Pike
Runnemede, NJ 08078
Phone (856) 536-1650

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

200 S Lincoln Ave
Ste 500
Newtown, PA 18940

200 S Lincoln Ave
Newtown, PA 18940
Phone (215) 297-9231

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mnguyen37499@direct.cooperhealth.edu

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 2

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1235495276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S LINCOLN AVE",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402120",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S LINCOLN AVE",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402120",
            "telephone_number": "609-712-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Runnemede",
            "state": "NJ",
            "postal_code": "08078",
            "country_code": "US",
            "telephone_number": "856-536-1650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 S Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Runnemede",
            "state": "NJ",
            "postal_code": "08078",
            "country_code": "US",
            "telephone_number": "856-536-1650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MYANH",
        "middle_name": "THI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00368000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.