Individual provider Active NPI

Mina Nguyen Le, M.D.

  • Otolaryngology Physician
  • Greenwich, CT
National Provider Identifier
1659563955
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
77775 Issued in CT
Practice address
49 Lake Ave Ste 103
Greenwich, CT 06830-4519
Phone
(203) 869-2030
Fax
(203) 869-9262
NPI assigned
Aug 10, 2007
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA10373000 NJ
Otolaryngology Physician 207Y00000X 77775 CT Primary
Otolaryngology Physician 207Y00000X NO LICENSE YET MN

Addresses

Primary practice location

49 Lake Ave Ste 103
Greenwich, CT 06830-4519

Mailing address

PO Box 419430
Boston, MA 02241-9430
Phone (201) 967-8221

Other practice location 1

1275 York Ave
C-1061
New York, NY 10065-6007
Phone (952) 393-5310

Other practice location 2

311 Bay Ave Ste 300B
Glen Ridge, NJ 07028-1607
Phone (973) 798-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181008003440 NJ Practitioner - Otolaryngology 3173875895 Reassigns benefits to 2 organizations
I20240830000122 CT Practitioner - Otolaryngology 3173875895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Harvard Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwich Ear Nose and Throat PCGroup PAC ID 5890755193, 9 clinicians

Practice addresses (Care Compare)

49 Lake Ave
Suite 103
Greenwich, CT 06830-4519
Phone (203) 869-2030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NO LICENSE YETMNMDOtolaryngology Physician
25MA10373000NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Nov 4, 2024 Accepting new patients
Greenwich Ear Nose & Throat PC Otolaryngology CurrentSince Aug 5, 2024 Accepting new patients
Greenwich Hospital CurrentSince Nov 4, 2024 Accepting new patients
University Physician Associates of New Jersey Inc Otolaryngology CurrentSince Aug 21, 2018 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Aug 21, 2018 Accepting new patients
Bergen County Improvement Authority CurrentSince Feb 1, 2021 Accepting new patients
Bergen County Improvement Authority CurrentSince Feb 1, 2021 Accepting new patients
Associates of Otolaryngology PC Otolaryngology PastSince Mar 9, 2009 Accepting new patients

Locations

49 Lake Ave
Ste 103
Greenwich, CT 06830
Phone (203) 869-2030

49 Lake Ave
Ste 205
Greenwich, CT 06830
Phone (203) 869-0177

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

125 Strawberry Hill Ave
Stamford, CT 06902
Phone (203) 348-7571

125 Strawberry Hill Ave
Ste 103
Stamford, CT 06902
Phone (203) 348-7797

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

Interoperability endpoints

  • Direct secure messaging: mle30751@stamfordhealth.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1659563955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-967-8221",
            "fax_number": "201-483-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE STE 103",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304519",
            "telephone_number": "203-869-2030",
            "fax_number": "203-869-9262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 York Ave",
            "address_2": "C-1061",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656007",
            "country_code": "US",
            "telephone_number": "952-393-5310",
            "fax_number": "212-717-3302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Bay Ave Ste 300B",
            "address_purpose": "LOCATION",
            "city": "Glen Ridge",
            "state": "NJ",
            "postal_code": "070281607",
            "country_code": "US",
            "telephone_number": "973-798-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "MINA",
        "middle_name": "NGUYEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA10373000",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "77775",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "NO LICENSE YET",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.