Active NPI
Ngoc Ly
- Critical Care Medicine (Anesthesiology) Physician
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 282453
- Practice address
- 363 Highland Ave
Fall River, MA 02720-3703 - Phone
- (508) 973-7558
- Fax
- (508) 973-7147
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 282453 | MA | Primary |
Addresses
Primary practice location
363 Highland Ave
Fall River, MA 02720-3703
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Other practice location 1
160 Robbins St
Chase Outpatient Center
Waterbury, CT 06708-2652
Phone (203) 573-7284
Other practice location 2
160 Robbins St
Chase Outpatient Center
Waterbury, CT 06708-2652
Phone (203) 573-7284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D87066 | Other | MD | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nly52923@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Anesthesiology
- Education
- Tulane University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
- Southcoast Hospitals Group
- South Shore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Associates | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- nly52923@direct.southcoast.org
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1356735401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195255",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 HIGHLAND AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027203703",
"telephone_number": "508-973-7558",
"fax_number": "508-973-7147"
}
],
"practiceLocations": [
{
"address_1": "160 Robbins St",
"address_2": "Chase Outpatient Center",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067082652",
"country_code": "US",
"telephone_number": "203-573-7284",
"fax_number": "203-573-7031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Robbins St",
"address_2": "Chase Outpatient Center",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067082652",
"country_code": "US",
"telephone_number": "203-573-7284",
"fax_number": "203-573-7031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LY",
"first_name": "NGOC",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MA",
"license": "282453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D87066",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nly52923@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "363 Highland Ave",
"city": "Fall River",
"state": "MA",
"country_code": "US",
"postal_code": "027203703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.