Individual provider Active NPI

Tien Hac Nguyen, M.D.

  • Cardiovascular Disease Physician
  • East Setauket, NY
National Provider Identifier
1861455412
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
206315-1 Issued in NY
Practice address
210 N Belle Mead Rd
East Setauket, NY 11733-3522
Phone
(631) 689-1400
Fax
(631) 689-1595
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 206315-1 NY
Medical Physician Assistant 363AM0700X 206315 NY
Cardiovascular Disease Physician 207RC0000X 206315-1 NY Primary

Addresses

Primary practice location

210 N Belle Mead Rd
East Setauket, NY 11733-3522

Mailing address

100 Highlands Blvd # 9
Port Jefferson, NY 11777-2320
Phone (631) 473-1320

Other practice location 1

35 E 35th St
New York, NY 10016-3823
Phone (212) 532-0888

Other identifiers 1

IdentifierTypeStateIssuer
02361842MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000688 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0749182095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Ekg Interpretation, P. C.Group PAC ID 2466345103, 57 clinicians
Harbor View Medical Services PCGroup PAC ID 5092865873, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 465-6225

210 Bellemeade Rd
East Setauket, NY 11733-3522
Phone (631) 689-1400

210 N Belle Mead Ave
East Setauket, NY 11733-3522
Phone (631) 689-1400

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
206315-1NYMDInterventional Cardiology Physician
206315NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York Heart Associates, PC Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Harbor View Medical Services PC CurrentSince Jan 1, 2019 Accepting new patients
Harbor View Medical Services PC Cardiovascular Disease CurrentSince Jan 1, 2019 Accepting new patients
Cardiac Ekg Interpretation, P. C. Cardiovascular Disease CurrentSince May 5, 2019 Accepting new patients
Harbor View Medical Services PC Current Accepting new patients

Locations

210 N Belle Mead Rd
East Setauket, NY 11733
Phone (631) 689-1400

35 E 35th St
New York, NY 10016
Phone (212) 532-0888

35 E 35th St
Ste 1CD
New York, NY 10016
Phone (212) 532-0888

75 N Country Rd
Ste 1001
Port Jefferson, NY 11777
Phone (631) 689-1400

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

75 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 686-2575

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: tien.nguyen.1@8551.direct.athenahealth.com

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.

Hospital & facility affiliations 9

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1861455412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDS BLVD # 9",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772320",
            "telephone_number": "631-473-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N BELLE MEAD RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333522",
            "telephone_number": "631-689-1400",
            "fax_number": "631-689-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E 35th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163823",
            "country_code": "US",
            "telephone_number": "212-532-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIEN",
        "middle_name": "HAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "206315-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "206315",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "206315-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02361842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.