Active NPI
Thucuc T Nguyen, DO
- Family Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C2-0023819
- Practice address
- 4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-5317 - Phone
- (302) 623-0188
- Fax
- (302) 733-5640
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0101153 | MD | |
| Family Medicine Physician | 207Q00000X | OT015891 | PA | |
| Family Medicine Physician | 207Q00000X | OS018366 | PA | |
| Family Medicine Physician | 207Q00000X | C2-0023819 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-5317
Mailing address
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Other practice location 1
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8772
Other practice location 2
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772
Other practice location 3
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 231-8772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103140071 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tnguyen54829@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188
Hospital & facility affiliations
- Christiana Hospital
- Union Hospital of Cecil County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0023819 | DE | MD | Family Medicine Physician |
| OS018366 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Family Medicine | Current | Accepting new patients |
| Union Hospital of Cecil County, Inc | Family Medicine | Current | Accepting new patients |
| Union Hospital of Cecil County | Family Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
207 North St
Ste A
Elkton, MD 21921
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.
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
Family Medicine
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Family Medicine Physician
- Perryville, MD
- NPI 1639920648
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1487060174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 LONDONDERRY RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197185317",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
}
],
"practiceLocations": [
{
"address_1": "1995 Technology Pkwy",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170508522",
"country_code": "US",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 S Front St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171012010",
"country_code": "US",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 Londonderry Rd",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171095317",
"country_code": "US",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUCUC",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H0101153",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT015891",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS018366",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0023819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103140071",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tnguyen54829@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "4300 Londonderry Rd",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171095317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.