Individual provider Active NPI

Tuyet-Lynn N Luu, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1710915863
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052403 Issued in PA
Practice address
800 Spruce Street
1 Pine West
Philadelphia, PA 19107
Phone
(215) 829-7407
Fax
(610) 567-6170
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000529 DE
Medical Physician Assistant 363AM0700X 25MP00361200 NJ
Medical Physician Assistant 363AM0700X MA052403 PA Primary

Addresses

Primary practice location

800 Spruce Street
1 Pine West
Philadelphia, PA 19107

Mailing address

800 Spruce Street
1 Pine West
Philadelphia, PA 19107
Phone (215) 829-7407

Other practice location 1

2 Capital Way Ste 356
Pennington, NJ 08534-2521
Phone (609) 599-5307

Other practice location 2

640 S Governors Ave Ste 101A
Dover, DE 19904-3525
Phone (302) 744-7980

Other names 1

  • Ms. Tuyet-Lynn Nguyen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160426000530 NJ Practitioner - Physician Assistant 4880607928 Reassigns benefits to 1 organization
I20230413002953 DE Practitioner - Physician Assistant 4880607928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4244

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000529DEMDPhysician Assistant
25MP00361200NJMDMedical Physician Assistant
MA052403PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Apr 1, 2023 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Lifecare Physicians, P.C Past Accepting new patients

Locations

540 S Governors Ave
Ste 101A
Dover, DE 19904
Phone (302) 744-7980

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1710915863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE STREET",
            "address_2": "1 PINE WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-829-7407",
            "fax_number": "610-567-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE STREET",
            "address_2": "1 PINE WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-829-7407",
            "fax_number": "610-567-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Capital Way Ste 356",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342521",
            "country_code": "US",
            "telephone_number": "609-599-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S Governors Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043525",
            "country_code": "US",
            "telephone_number": "302-744-7980",
            "fax_number": "302-744-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "TUYET-LYNN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000529",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00361200",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUYET-LYNN",
            "last_name": "NGUYEN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.