Individual provider Active NPI

Ngoc Bao Nguyen, DO, MPH

  • Public Health & General Preventive Medicine Physician
  • Claymont, DE
National Provider Identifier
1497457253
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
C2-0024979 Issued in DE
Practice address
3565 Philadelphia Pike
Claymont, DE 19703-3106
Phone
(302) 320-4110
Fax
(302) 798-6672
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X C2-0024979 DE Primary

Addresses

Primary practice location

3565 Philadelphia Pike
Claymont, DE 19703-3106

Mailing address

3565 Philadelphia Pike
Claymont, DE 19703-3106
Phone (302) 320-4110

Other practice location 1

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 689-8333

Other practice location 2

3901 W 15th St
Plano, TX 75075-7738
Phone (817) 347-1141

Other names 1

  • Maria Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260624002867 DE Practitioner - Preventive Medicine 4789042060

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3565 Philadelphia Pike
Claymont, DE 19703-3106

4000 Nexus Dr
Wilmington, DE 19803-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc PastSince Jul 1, 2026 Accepting new patients
Christiana Care Health Services, Inc PastSince Jul 1, 2026 Accepting new patients

Organizations & group practices 2

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1497457253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 PHILADELPHIA PIKE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197033106",
            "telephone_number": "302-320-4110",
            "fax_number": "302-798-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 PHILADELPHIA PIKE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197033106",
            "telephone_number": "302-320-4110",
            "fax_number": "302-798-6672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Nicolls Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-689-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750757738",
            "country_code": "US",
            "telephone_number": "817-347-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGOC",
        "middle_name": "BAO",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "DE",
            "license": "C2-0024979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "NGUYEN",
            "credential": "DO, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Claymont, DE

Sources for this page

Verify at the official NPI Registry.