Active NPI
Haidang Dang Nguyen, MD
- Pediatrics Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 319088-01
- Practice address
- 330 W 58TH St Ste 414
New York, NY 10019-1819 - Phone
- (212) 624-0220
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA12384900 | NJ | |
| Pediatrics Physician | 208000000X | 319088-01 | NY | Primary |
Addresses
Primary practice location
330 W 58TH St Ste 414
New York, NY 10019-1819
Mailing address
330 W 58TH St Ste 414
New York, NY 10019-1819
Phone (212) 624-0220
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Michigan State University College of Human Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
265 Sunrise Hwy
Suite 20
Rockville Centre, NY 11570
5555 Glenridge Connector
Suite 700
Atlanta, GA 30342-1681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319088 | NY | MD | Licensed Practical Nurse |
| 25MA12384900 | NJ | MD | Pediatrics Physician |
| 319088-01 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodhi Medical Care, LLC | Single Specialty | Current | Accepting new patients |
| North Shore Lij, Urgent Care, P.C. | Single Specialty | Current | Accepting new patients |
| Rutgers Robert Wood Johnson Medical School | Past | Accepting new patients | |
| PM Pediatrics PC | Single Specialty | Past | Accepting new patients |
| PM Pediatrics of Mamaroneck | Single Specialty | Past | Accepting new patients |
| PM Pediatrics of Bayside PLLC | Single Specialty | Past | Accepting new patients |
Locations
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
1332 Peninsula Blvd
Hewlett, NY 11557
Phone (516) 531-6130
1436 Union Tpke
New Hyde Park, NY 11040
Phone (516) 360-3631
315 W 57th St
Ste 404
New York, NY 10019
Phone (888) 603-0993
302 E 72nd St
New York, NY 10021
Phone (212) 734-4488
330 W 58th St
Ste 414
New York, NY 10019
Phone (212) 624-0220
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
Interoperability endpoints
- haidang.nguyen@ghuc.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
Single Specialty
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
Single Specialty
-
- Children's Hospital
- New Brunswick, NJ
- NPI 1487192241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1265069470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 58TH ST STE 414",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191819",
"telephone_number": "212-624-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 58TH ST STE 414",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191819",
"telephone_number": "212-624-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HAIDANG",
"middle_name": "DANG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA12384900",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "319088-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.