Individual provider Active NPI

Virginia Tran, RN, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Mamaroneck, NY
National Provider Identifier
1356996904
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351834 Issued in NY
Practice address
689 Mamaroneck Ave
Mamaroneck, NY 10543-5910
Phone
(914) 632-2737
NPI assigned
Aug 9, 2019
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351834 NY Primary

Addresses

Primary practice location

689 Mamaroneck Ave
Mamaroneck, NY 10543-5910

Mailing address

689 Mamaroneck Ave
Mamaroneck, NY 10543-5910
Phone (914) 632-2737

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
I20230606001083 NY Practitioner - Nurse Practitioner 5698132728 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Family Medical Center Inc Current Accepting new patients
Open Door Family Medical Center, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince May 18, 2023 Accepting new patients
Open Door Family Medical Center Inc CurrentSince Feb 17, 2025 Accepting new patients

Locations

3101 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-0128

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

689 Mamaroneck Ave
Mamaroneck, NY 10543
Phone (914) 253-1100

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

325 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 287-7650

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1356996904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105435910",
            "telephone_number": "914-632-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105435910",
            "telephone_number": "914-632-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VIRGINIA",
        "credential": "RN, MSN, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

Verify at the official NPI Registry.