Individual provider Active NPI

Phoebe Nguyen-Hageman, DDS

  • Dentist
  • Delmar, NY
National Provider Identifier
1932581501
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
058710 Issued in NY
Practice address
74 Delaware Ave
Delmar, NY 12054
Phone
(518) 439-3299
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 058710 NY
Dentist 122300000X 058710 NY Primary

Addresses

Primary practice location

74 Delaware Ave
Delmar, NY 12054

Mailing address

131 Westchester Dr N.
Delmar, NY 12054
Phone (716) 248-6040

Other names 1

  • Phuc Thi Hong Nguyen Former name

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

LicenseStateTypeSpecialty
058710NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Hudson Valley New York Dental PC General Practice CurrentSince Mar 20, 2022 Accepting new patients
PNH Dental Arts PC General Practice CurrentSince Sep 25, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1932581501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WESTCHESTER DR N.",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "12054",
            "telephone_number": "716-248-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "12054",
            "telephone_number": "518-439-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-HAGEMAN",
        "first_name": "PHOEBE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058710",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUC",
            "last_name": "NGUYEN",
            "middle_name": "THI HONG",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.