Individual provider Active NPI

Tan Duy Nguyen, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1609523802
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025274 Issued in PA
Practice address
5008 Old York Rd
Philadelphia, PA 19141-2786
Phone
(215) 455-5403
NPI assigned
Mar 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025274 PA Primary

Addresses

Primary practice location

5008 Old York Rd
Philadelphia, PA 19141-2786

Mailing address

5008 Old York Rd
Philadelphia, PA 19141-2786
Phone (267) 992-9770

Other practice location 1

533 Washington Ave
Philadelphia, PA 19147-4005
Phone (215) 463-1430

Other practice location 2

5746 Rising Sun Ave
Philadelphia, PA 19120-1626
Phone (267) 904-6891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220527000870 PA Practitioner - Nurse Practitioner 8123406444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Services IncGroup PAC ID 0840242467, 21 clinicians

Practice addresses (Care Compare)

5008 Old York Rd
Philadelphia, PA 19141-2786
Phone (215) 455-5403

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (267) 275-4095

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Services, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Logan Health Center Inc Family CurrentSince Nov 18, 2025 Accepting new patients
Spectrum Health Services, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Truong Huu Nguyen PC CurrentSince Apr 25, 2022 Accepting new patients
Truong H. Nguyen PC PastSince Apr 25, 2022 Accepting new patients

Locations

1415 N Broad St
Ste 224
Philadelphia, PA 19122
Phone (267) 275-4095

3525 Cottman Ave
Philadelphia, PA 19149

5746 Rising Sun Ave
Philadelphia, PA 19120
Phone (215) 564-6620

5201 Haverford Ave
Philadelphia, PA 19139
Phone (215) 472-6097

1325 S 33rd St
Fl 3
Philadelphia, PA 19146
Phone (215) 220-3925

533 Washington Ave
Philadelphia, PA 19147
Phone (215) 463-1430

Interoperability endpoints

  • Direct secure messaging: tan.nguyen.1@20090.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1609523802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412786",
            "telephone_number": "267-992-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412786",
            "telephone_number": "215-455-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191474005",
            "country_code": "US",
            "telephone_number": "215-463-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5746 Rising Sun Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191201626",
            "country_code": "US",
            "telephone_number": "267-904-6891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAN",
        "middle_name": "DUY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.