Individual provider Active NPI

Vy Tuong Vu Nguyen, PA-C

  • Physician Assistant
  • Newport News, VA
National Provider Identifier
1902674054
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12695 McManus Blvd Ste 4a-B
Newport News, VA 23602-4435
Phone
(757) 369-0439
Fax
(757) 369-0513
NPI assigned
Dec 18, 2023
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X VA Primary
Dermatology Physician 207N00000X 0110010163 VA

Addresses

Primary practice location

12695 McManus Blvd Ste 4a-B
Newport News, VA 23602-4435

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

5630 Lowery Rd
Norfolk, VA 23502-2233
Phone (757) 455-5009

Other practice location 2

1035 Champions Way Ste 100
Suffolk, VA 23435-3762
Phone (757) 967-0790

Other practice location 3

1069 Centerbrooke Ln
Suffolk, VA 23434-8475
Phone (757) 925-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240724002087 DC Practitioner - Physician Assistant 0143766345 Reassigns benefits to 1 organization
I20240823002865 VA Practitioner - Physician Assistant 0143766345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

1035 Champions Way
Suite 100
Suffolk, VA 23435-3762
Phone (757) 967-0790

1069 Centerbrooke LN
Suffolk, VA 23434-8475
Phone (757) 925-1860

5630 Lowery Rd
Norfolk, VA 23502-2233
Phone (757) 455-5009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Dermatology Skin Cancer Center Suffolk PastSince Oct 13, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vnguyen@aadermaffiliates.emadirect.md

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, 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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1902674054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12695 MCMANUS BLVD STE 4A-B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024435",
            "telephone_number": "757-369-0439",
            "fax_number": "757-369-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5630 Lowery Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022233",
            "country_code": "US",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Champions Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353762",
            "country_code": "US",
            "telephone_number": "757-967-0790",
            "fax_number": "757-967-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1069 Centerbrooke Ln",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348475",
            "country_code": "US",
            "telephone_number": "757-925-1860",
            "fax_number": "757-925-1863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VY",
        "middle_name": "TUONG VU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0110010163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.