Individual provider Active NPI

Ngoc Anh Nguyen, NP-C

  • Nurse Practitioner
  • Stoneham, MA
National Provider Identifier
1861932691
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2297134 Issued in MA
Practice address
40 Lawndale Rd
Stoneham, MA 02180-1057
Phone
(617) 605-9632
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2297134 MA Primary
Registered Nurse 163W00000X RN2297134 MA

Addresses

Primary practice location

40 Lawndale Rd
Stoneham, MA 02180-1057

Mailing address

40 Lawndale Rd
Stoneham, MA 02180-1057
Phone (617) 605-9632

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
I20170817000035 MA Practitioner - Nurse Practitioner 3577835107 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

45 Dan Rd
Canton, MA 02021-2852
Phone (781) 867-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Health PC CurrentSince Jul 1, 2023 Accepting new patients
Vantage Healthcare LLC CurrentSince May 24, 2024 Accepting new patients
Naseer PC CurrentSince Jul 5, 2017 Accepting new patients
Charter LTC LLC CurrentSince Jul 1, 2023 Accepting new patients
Medpractice PC CurrentSince Jul 5, 2017 Accepting new patients

Locations

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

18 Dana Hill Rd
Sterling, MA 01564
Phone (978) 422-5111

26 Harvard St
Worcester, MA 01609
Phone (508) 754-8877

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1861932691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAWNDALE RD",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801057",
            "telephone_number": "617-605-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAWNDALE RD",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801057",
            "telephone_number": "617-605-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGOC",
        "middle_name": "ANH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2297134",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2297134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.