Quan M Luong, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1051 Issued in NE

Practice address

10506 South Riva Ridge Loop
Connor Troop Medical Clinic BLDG 10506
Fort Drum, NY 13602-0000

Phone

(315) 772-8443

NPI assigned

Jun 21, 2012

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

New York College of Osteo Medicine of New York Institute of Technology, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nyack Hospital Hospital, Nyack, NY, CCN 330104
• Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
• Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Networks

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

Interoperability endpoints

• Direct secure messaging: quluong@montefioredirect.com

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  NJ

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  Care Compare affiliation
• State of New York Comptrollers Office

  dba Helen Hayes Hospital

  • General Acute Care Hospital
  • West Haverstraw, NY
  • NPI 1063525442
  Care Compare affiliation
• Winifred Masterson Burke Rehabilitation Hospital

  • Rehabilitation Hospital
  • White Plains, NY
  • NPI 1841295219

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1366705600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 SOUTH RIVA RIDGE LOOP",
            "address_2": "CONNOR TROOP MEDICAL CLINIC BLDG 10506",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136020000",
            "telephone_number": "315-772-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 SOUTH RIVA RIDGE LOOP",
            "address_2": "CONNOR TROOP MEDICAL CLINIC BLDG 10506",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136020000",
            "telephone_number": "315-772-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "QUAN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Lopez, DENTAL ASSISTANT X2
• Mildred Rodriguez Lopez, BSN, RN, IBCLC
• Ronald Lovich, D.O.
• Jonathan P Ludlow, OD
• Michelle Luken, BS/MS, OTR/L
• Michelle Luther
• Vania Ma, MD
• Wael K Mabrouk, DMD
• Mary Angela Macculloch, LCSW
• Owen Michael Mainord, MAT, LAT, ATC, NREMT

• General Practice Physician in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.

Verify at the official NPI Registry.