Cuong Phu Nguyen, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

2901601178 Issued in MI

Practice address

151 Westchester Hall
Stony Brook, NY 11794-0001

Phone

(631) 444-2557

NPI assigned

Jan 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1538633813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RONKONKOMA AVE APT 5E",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792792",
            "telephone_number": "714-232-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WESTCHESTER HALL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1179 E Paris Ave SE Ste 130",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463682",
            "country_code": "US",
            "telephone_number": "616-226-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CUONG",
        "middle_name": "PHU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-19",
        "last_updated": "2022-01-06",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "MI",
            "license": "2901601178",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika H Newton, M.D.
• Brandon Cee-Wing NG, MD
• Mike NG, MD
• Nguyen Plastic Surgery PC
• Bryan Nguyen
• Emily D Nguyen, MD
• Huong Thanh Nguyen, M.D.
• Naomi Nguyen
• Thuong My Nguyen, MD, MPH
• Thuy T Nguyen, MD FACS

• Dental Anesthesiology in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Dental Anesthesiology in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.