Active NPI
Bianca Baotran Thai Nguyen, MD, MPH
- Psychiatry Physician
- New York, NY
National Provider Identifier
1265895445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 291320-01
- Practice address
- 55 Broadway
New York, NY 10006-3008 - Phone
- (646) 315-2180
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 291320-01 | NY | Primary |
Addresses
Primary practice location
55 Broadway
New York, NY 10006-3008
Mailing address
335 W 84TH St Apt 3
New York, NY 10024-4229
Phone (704) 996-3831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190117000087 | PA | Order and Referring Only - Psychiatry | 1254677917 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291320-01 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1265895445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 W 84TH ST APT 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244229",
"telephone_number": "704-996-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100063008",
"telephone_number": "646-315-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BIANCA BAOTRAN",
"middle_name": "THAI",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "291320-01",
"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 May 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.