Individual provider Active NPI

Nhung Nguyen

  • Physician Assistant
  • Jersey City, NJ
National Provider Identifier
1851911499
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
176 Palisade Ave
Jersey City, NJ 07306-1121
Phone
(201) 795-8200
NPI assigned
Apr 23, 2020
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

176 Palisade Ave
Jersey City, NJ 07306-1121

Mailing address

24 Beekman Rd
Bridgewater, NJ 08807-2625

Other practice location 1

24 Beekman Rd
Bridgewater, NJ 08807-2625
Phone (908) 947-5073

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
I20220420003136 NJ Practitioner - Physician Assistant 8820485899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians

Practice addresses (Care Compare)

29 E 29TH St
Bayonne, NJ 07002-4654
Phone (201) 858-5000

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Endovascular & Amputation Prevention LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: iso9016@direct.nyp.org
  • Direct secure messaging: nhung.nguyen.1@24989.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1851911499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BEEKMAN RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061121",
            "telephone_number": "201-795-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Beekman Rd",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072625",
            "country_code": "US",
            "telephone_number": "908-947-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NHUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.