Individual provider Active NPI

Cyndi T Nguyen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
National Provider Identifier
1952406050
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS038563 Issued in PA
Practice address
456 N. 5TH Street
Suite 4
Philadelphia, PA 19123
Phone
(215) 273-3223
Fax
(225) 766-2382
NPI assigned
Sep 13, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS038563 PA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D1026076 NJ

Addresses

Primary practice location

456 N. 5TH Street
Suite 4
Philadelphia, PA 19123

Mailing address

128 Fairview Rd
Penn Valley, PA 19072
Phone (225) 766-8107

Other practice location 1

5188 Highland Rd
Baton Rouge, LA 70808-6527
Phone (225) 766-8107 ext. 103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150916001446 NJ Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 6608183116 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1026076NJMDOral and Maxillofacial Surgery (Dentist)
DS038563PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA CurrentSince Jul 26, 2015 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jul 26, 2015 Accepting new patients
Cooper University Trauma Physicians, PC CurrentSince Jul 26, 2015 Accepting new patients
Cyndi Nguyen Omfs LLC Oral and Maxillofacial Surgery PastSince Jan 1, 2021 Accepting new patients
Philadelphia Oral and Maxillofacial Surgery, PLLC Oral and Maxillofacial Surgery PastSince Mar 27, 2022 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

15 E Euclid Ave
Haddonfield, NJ 08033
Phone (856) 429-1711

2 Plaza Dr
Bldg 2
Sewell, NJ 08080
Phone (856) 270-4100

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1952406050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FAIRVIEW RD",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "225-766-8107",
            "fax_number": "225-766-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N. 5TH STREET",
            "address_2": "SUITE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19123",
            "telephone_number": "215-273-3223",
            "fax_number": "225-766-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5188 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708086527",
            "country_code": "US",
            "telephone_number": "225-766-8107 x103",
            "fax_number": "225-766-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CYNDI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS038563",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "D1026076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.