Active NPI
Michele Ly Nguyen, D.D.S.
- Endodontics
- Brooklyn, NY
National Provider Identifier
1861875866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 058957
- Practice address
- 185 Montague St Ste 9
Brooklyn, NY 11201-3637 - Phone
- (718) 638-5100
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 058957 | NY | Primary |
Addresses
Primary practice location
185 Montague St Ste 9
Brooklyn, NY 11201-3637
Mailing address
233 Schermerhorn St Apt 9B
Brooklyn, NY 11201-5874
Phone (504) 231-3923
Other practice location 1
506 6th St
KP1 Area 3
Brooklyn, NY 11215-3609
Phone (718) 780-5410
Other practice location 2
244 W 54th St Ste 614
New York, NY 10019-5515
Phone (212) 757-3183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058957 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Associates of Brooklyn Heights, PC | Current | Accepting new patients | |
| Coliseum Dental East, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Brooklyn, NY
- NPI 1811706153
-
- General Practice Dentistry
- New York, NY
- NPI 1447927090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1861875866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 SCHERMERHORN ST APT 9B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015874",
"telephone_number": "504-231-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 MONTAGUE ST STE 9",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013637",
"telephone_number": "718-638-5100"
}
],
"practiceLocations": [
{
"address_1": "506 6th St",
"address_2": "KP1 Area 3",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112153609",
"country_code": "US",
"telephone_number": "718-780-5410",
"fax_number": "718-780-5409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "244 W 54th St Ste 614",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100195515",
"country_code": "US",
"telephone_number": "212-757-3183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MICHELE",
"middle_name": "LY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "058957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.