Individual provider Active NPI

Tuyet Khanh Truong

  • Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1326611401
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F310727-01 Issued in NY
Practice address
847 Tait Ave
Rochester, NY 14616-2308
Phone
(158) 585-1185
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F310727-01 NY Primary
Registered Nurse 163W00000X 722447-01 NY

Addresses

Primary practice location

847 Tait Ave
Rochester, NY 14616-2308

Mailing address

847 Tait Ave
Rochester, NY 14616-2308
Phone (585) 851-1856

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102000821 NY Practitioner - Nurse Practitioner 4284001363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

3 Upton Park
Rochester, NY 14607-1751
Phone (585) 685-2525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
722447-01NYMDRegistered Nurse
F310727-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC CurrentSince May 2, 2024 Accepting new patients
Wny Medical PC Nurse Practitioner CurrentSince Jul 22, 2023 Accepting new patients
The Unity Hospital of Rochester Past Accepting new patients
Mi Pacs 2 PC Past Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

3884 Broadway St
Cheektowaga, NY 14227
Phone (716) 681-9000

3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100

1335 Portland Ave
Rochester, NY 14621
Phone (585) 544-4000

Interoperability endpoints

  • Direct secure messaging: tuyett@wnymedical.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1326611401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 TAIT AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146162308",
            "telephone_number": "585-851-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 TAIT AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146162308",
            "telephone_number": "158-585-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TUYET",
        "middle_name": "KHANH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F310727-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "722447-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.