Individual provider Active NPI

Nancy Nguyen

  • Physician Assistant
  • Camden, NJ
National Provider Identifier
1417324294
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00373100 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(856) 342-2000
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00373100 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

2113 Merchantville Ave
Pennsauken, NJ 08110-1810
Phone (215) 214-9976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20151029002786 NJ Practitioner - Physician Assistant 3173833381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine CurrentSince Sep 14, 2015 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Sep 14, 2015 Accepting new patients

Locations

1 Federal St
#200
Camden, NJ 08103

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228

3 Cooper Plz
Rm 318
Camden, NJ 08103
Phone (856) 342-2683

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1210 Brace Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 342-2034

4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453

400 Medical Center Dr
Ste B
Sewell, NJ 08080
Phone (570) 947-8229

1 Plaza Dr
Ste 103
Sewell, NJ 08080
Phone (856) 270-4080

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

218 Sunset Rd
#C
Willingboro, NJ 08046
Phone (609) 877-0400

66 East Ave
#A
Woodstown, NJ 08098
Phone (856) 624-4252

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.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1417324294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2113 Merchantville Ave",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081101810",
            "country_code": "US",
            "telephone_number": "215-214-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00373100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.