Individual provider Active NPI

Phuong Tu Truong, MSN, FNP-BC, RN

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1659801959
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342634 Issued in NY
Practice address
4266 Kissena Blvd # F1
Flushing, NY 11355-3213
Phone
(718) 333-5537
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 716785 NY
Family Nurse Practitioner 363LF0000X F342634 NY Primary

Addresses

Primary practice location

4266 Kissena Blvd # F1
Flushing, NY 11355-3213

Mailing address

4266 Kissena Blvd FL 1
Flushing, NY 11355-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211104003099 NY Practitioner - Nurse Practitioner 8224427638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
716785NYMDMedical-Surgical Registered Nurse
F342634NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

745 61st St
Fl 1
Brooklyn, NY 11220
Phone (718) 333-5537

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

833 58th St
Brooklyn, NY 11220
Phone (718) 290-2919

4266 Kissena Blvd
#1
Flushing, NY 11355
Phone (718) 333-5537

4266 Kissena Blvd
#F1
Flushing, NY 11355
Phone (718) 333-5537

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

3808 Union St
Ste 13A
Flushing, NY 11354
Phone (718) 362-6298

3808 Union St
Ste 5A
Flushing, NY 11354
Phone (718) 888-7907

168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1659801959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 KISSENA BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 KISSENA BLVD # F1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553213",
            "telephone_number": "718-333-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "PHUONG",
        "middle_name": "TU",
        "name_prefix": "Miss",
        "credential": "MSN, FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "716785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.