Individual provider Active NPI

Thi Theresa Nguyen, APN

  • Family Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1831958511
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15005800 Issued in NJ
Practice address
210 Jack Martin Blvd Ste D1
Brick, NJ 08724-3063
Phone
(848) 329-7025
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 26NJ15005800 NJ Primary

Addresses

Primary practice location

210 Jack Martin Blvd Ste D1
Brick, NJ 08724-3063

Mailing address

210 Jack Martin Blvd Ste D1
Brick, NJ 08724-3063
Phone (848) 329-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240603003456 NJ Practitioner - Nurse Practitioner 0840732038 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

508 Lakehurst Rd
Suite 3a
Toms River, NJ 08755-8000
Phone (732) 341-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15005800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geps Physician Group of New Jersey PC Family CurrentSince Aug 5, 2024 Accepting new patients
Alignmed Medical Group NJ, PC CurrentSince Dec 3, 2024 Accepting new patients
Northeast Kidney Care LLC CurrentSince Apr 29, 2024 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Aug 5, 2024 Accepting new patients

Locations

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-3620

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

1301 Route 72 W
Ste 206
Manahawkin, NJ 08050
Phone (609) 978-9940

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

444 Neptune Blvd
Unit 5
Neptune, NJ 07753
Phone (732) 458-5854

249 High St
Newton, NJ 07860
Phone (855) 699-6312

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

508 Lakehurst Rd
Ste 3A
Toms River, NJ 08755
Phone (732) 341-4600

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: tnguyen64015@direct.acumenmd.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 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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1831958511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JACK MARTIN BLVD STE D1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243063",
            "telephone_number": "848-329-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JACK MARTIN BLVD STE D1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243063",
            "telephone_number": "848-329-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THI",
        "middle_name": "THERESA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15005800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.