Individual provider Active NPI

Ocean Ngoc Nguyen, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Tewksbury, MA
National Provider Identifier
1851931430
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8277 Issued in MA
Practice address
345 Main St
Tewksbury, MA 01876-1745
Phone
(978) 851-4683
Fax
(978) 710-5054
NPI assigned
Jan 10, 2020
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 PA8277 MA Primary

Addresses

Primary practice location

345 Main St
Tewksbury, MA 01876-1745

Mailing address

345 Main St
Tewksbury, MA 01876-1745
Phone (978) 851-4683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230824001952 MA Practitioner - Physician Assistant 1759744725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

256 Washington St
Unit 2
Hudson, MA 01749-2735
Phone (978) 293-5026

345 Main St
Tewksbury, MA 01876-1745
Phone (978) 851-4683

484 Route 134
South Dennis, MA 02660-3423
Phone (508) 694-7901

58 Bedford St
Lexington, MA 02420-4334
Phone (781) 538-4526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Oct 25, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 25, 2025 Accepting new patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince Apr 24, 2024 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Apr 24, 2024 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Pinnacle Medical Group, LLC PastSince Jun 1, 2018 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

256 Washington St
#2
Hudson, MA 01749
Phone (978) 293-5026

20 Commercial Rd
Ste 2
Leominster, MA 01453
Phone (978) 798-6896

757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

345 Main St
Tewksbury, MA 01876
Phone (978) 851-4683

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 7

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 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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1851931430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761745",
            "telephone_number": "978-851-4683",
            "fax_number": "978-710-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761745",
            "telephone_number": "978-851-4683",
            "fax_number": "978-710-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "OCEAN",
        "middle_name": "NGOC",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.