Individual provider Active NPI

Tuyen Mong Ngo, FNP

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1710416748
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341771 Issued in NY
Practice address
2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone
(315) 724-1012
Fax
(315) 724-5219
NPI assigned
Jun 4, 2017
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 341771 NY Primary

Addresses

Primary practice location

2 Ellinwood Dr
New Hartford, NY 13413-1102

Mailing address

100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-7112
Phone (315) 870-9369

Other practice location 1

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1805

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
I20170822000265 NY Practitioner - Nurse Practitioner 2264704543 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341771NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Oct 23, 2017 Accepting new patients
Ajay Goel Physician PC CurrentSince Dec 4, 2023 Accepting new patients
Central New York Cardiology, PC Family CurrentSince May 22, 2026 Accepting new patients
MVHS Inc CurrentSince Oct 23, 2017 Accepting new patients

Locations

91 Perimeter Rd
Ste 120
Rome, NY 13441
Phone (315) 336-4830

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

601 State St
Ste 200
Utica, NY 13502
Phone (315) 733-7598

Interoperability endpoints

  • Direct secure messaging: tngo@ajaygoelphysicianpc.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1710416748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR STE 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130887112",
            "telephone_number": "315-870-9369",
            "fax_number": "315-870-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELLINWOOD DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131102",
            "telephone_number": "315-724-1012",
            "fax_number": "315-724-5219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 Burrstone Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131001",
            "country_code": "US",
            "telephone_number": "315-798-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "TUYEN",
        "middle_name": "MONG",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.