Individual provider Active NPI

Jessica M. Nguyen, M.D.

  • Allergy & Immunology Physician
  • Owings Mills, MD
National Provider Identifier
1932377058
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0073116 Issued in MD
Practice address
25 Crossroads Dr Ste 410
Owings Mills, MD 21117-5439
Phone
(410) 363-6144
Fax
(410) 363-7752
NPI assigned
Feb 11, 2008
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D0073116 MD Primary

Addresses

Primary practice location

25 Crossroads Dr Ste 410
Owings Mills, MD 21117-5439

Mailing address

5430 Campbell Blvd Ste 103
White Marsh, MD 21162-5503
Phone (410) 933-9404

Other practice location 1

5430 Campbell Blvd Ste 103
White Marsh, MD 21162-5503
Phone (410) 933-9404

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0073116MDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma, Allergy and Sinus Center PastSince Nov 6, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1932377058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD STE 103",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625503",
            "telephone_number": "410-933-9404",
            "fax_number": "410-933-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 410",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175439",
            "telephone_number": "410-363-6144",
            "fax_number": "410-363-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 Campbell Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "White Marsh",
            "state": "MD",
            "postal_code": "211625503",
            "country_code": "US",
            "telephone_number": "410-933-9404",
            "fax_number": "410-933-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0073116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.