Individual provider Active NPI

Dang D Nguyen, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1871512517
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
157328 Issued in NY
Practice address
202 Canal St
Suite 305
New York, NY 10013-4517
Phone
(212) 334-8108
Fax
(212) 334-8147
NPI assigned
Jul 19, 2006
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 157328 NY Primary
Nephrology Physician 207RN0300X MA39872 NJ

Addresses

Primary practice location

202 Canal St
Suite 305
New York, NY 10013-4517

Mailing address

202 Canal St
Suite 305
New York, NY 10013-4517
Phone (212) 334-8108

Other identifiers 1

IdentifierTypeStateIssuer
00923166MedicaidNY

Other names 1

  • Dr. Dung Dang Nguyen Other name

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
I20051103000902 NY Practitioner - NephrologyPractitioner - Internal Medicine 9436067691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Canal St
Suite 305
New York, NY 10013-4517
Phone (917) 620-4091

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA39872NJMDNephrology Physician
157328NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Renal Medicine, P.C. Nephrology CurrentSince Aug 24, 2005 Accepting new patients

Locations

202 Canal St
Ste 305
New York, NY 10013
Phone (212) 334-8108

41 Elizabeth St
#302
New York, NY 10013
Phone (212) 334-8108

41 Elizabeth St
Ste 302
New York, NY 10013
Phone (212) 334-8108

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJGGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJGGAA/Endpoint/BJGGAA

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1871512517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CANAL ST",
            "address_2": "SUITE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134517",
            "telephone_number": "212-334-8108",
            "fax_number": "212-334-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CANAL ST",
            "address_2": "SUITE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134517",
            "telephone_number": "212-334-8108",
            "fax_number": "212-334-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DANG",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "157328",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA39872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00923166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUNG",
            "last_name": "NGUYEN",
            "middle_name": "DANG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.