Individual provider Active NPI

Chau Ming Nguyen, MD

  • Dermatology Physician
  • Huntington, NY
National Provider Identifier
1295766145
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
247136 Issued in NY
Practice address
205 E Main St Ste 2-7
Huntington, NY 11743-2923
Phone
(631) 403-2375
Fax
(631) 403-1182
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A73209 CA
Dermatology Physician 207N00000X 247136 NY Primary

Addresses

Primary practice location

205 E Main St Ste 2-7
Huntington, NY 11743-2923

Mailing address

PO Box 1064
East Northport, NY 11731
Phone (631) 403-2375

Other identifiers 1

IdentifierTypeStateIssuer
00A732090MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chaunguy@nguyen.emadirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000120 NY Practitioner - Dermatology 0244133965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Colorado School of Medicine, Denver, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 E Main St
Suite 2 7
Huntington, NY 11743-7937
Phone (631) 403-2375

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as individual
Quality
90.08
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions501
Removal or shaving of skin growth1-10
Skin biopsy205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73209CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Dermatology PC CurrentSince Mar 28, 2016 Accepting new patients
Colorado Dermatology Medical Group, Inc Dermatology PastSince Jun 1, 2002 Accepting new patients

Locations

181 Main St
Ste 201
Huntington, NY 11743
Phone (631) 335-3584

205 E Main St
Ste 2-7
Huntington, NY 11743
Phone (631) 271-2769

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1295766145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1064",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "11731",
            "telephone_number": "631-403-2375",
            "fax_number": "206-339-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 2-7",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432923",
            "telephone_number": "631-403-2375",
            "fax_number": "631-403-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHAU",
        "middle_name": "MING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A73209",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "247136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A732090",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chaunguy@nguyen.emadirect.com",
            "affiliation": "N",
            "address_1": "205 E Main St Ste 2-7",
            "city": "Huntington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117432923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.