NPIMap

Organization Active NPI

Mai Tai Nguyen, M.D.

  • Hematology & Oncology Physician
  • Methuen, MA
National Provider Identifier
1265692230
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
54685 Issued in MA
Legal business name
MAI TAI NGUYEN, M.D.
Practice address
411 Merrimack St
Suite 203
Methuen, MA 01844-5821
Phone
(978) 686-9152
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mai Tai Nguyen, M.D.NPI 1316088438
Title
Owner
Phone
(978) 686-9152

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
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 54685 MA Primary

Addresses

Primary practice location

411 Merrimack St
Suite 203
Methuen, MA 01844-5821

Mailing address

186 Beacon St
Andover, MA 01810-2813
Phone (978) 686-9152

Other identifiers 2

IdentifierTypeStateIssuer
J04744OtherBLUE CROSS BLUE SHIELD
J04744OtherMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

411 Merrimack St
Ste 203
Methuen, MA 01844
Phone (978) 686-9152

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": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1265692230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BEACON ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102813",
            "telephone_number": "978-686-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "SUITE 203",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-686-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI TAI NGUYEN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "TAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-686-9152",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "54685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J04744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  ID-TYPE UNSPECIFIED",
            "identifier": "J04744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.