Individual provider Active NPI

Nhu Thi Ngo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
National Provider Identifier
1972605350
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
220631-1 Issued in NY
Practice address
506 Sixth Street
Ny Methodist - Pathology Dept. - Carrington Floor 2
Brooklyn, NY 11215
Phone
(718) 780-3634
Fax
(718) 780-3673
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 040466 CT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 220631-1 NY Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD 14102 RI

Addresses

Primary practice location

506 Sixth Street
Ny Methodist - Pathology Dept. - Carrington Floor 2
Brooklyn, NY 11215

Mailing address

225 15TH St
Apt. 3B
Brooklyn, NY 11215-4914
Phone (860) 214-4561

Other identifiers 1

IdentifierTypeStateIssuer
001404665MedicaidCT

Other names 1

  • Baonhu Thi Ngo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040720001047 CT Practitioner - Pathology 6204816416 Reassigns benefits to 2 organizations
I20160729002086 NY Practitioner - Pathology 6204816416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Connecticut School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Fairfield County Pathology Consultants, LLCGroup PAC ID 7113969833, 3 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 378-6148

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-5033

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040466CTMDAnatomic Pathology & Clinical Pathology Physician
220631-1NYMDAnatomic Pathology & Clinical Pathology Physician
MD 14102RIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield County Pathology Consultants, LLC Anatomic Pathology & Clinical Pathology CurrentSince Nov 5, 2023 Accepting new patients
Saint Francis Care Medical Group, PC Anatomic Pathology & Clinical Pathology CurrentSince Feb 15, 2014 Accepting new patients
Montefiore Medical Center Anatomic Pathology & Clinical Pathology CurrentSince Oct 22, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Oct 22, 2025 Accepting new patients
Montefiore Mount Vernon Hospital CurrentSince Oct 22, 2025 Accepting new patients
Saint Francis Care Medical Group, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Feb 15, 2014 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

111 E 210th St
Bronx, NY 10467

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1972605350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 15TH ST",
            "address_2": "APT. 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154914",
            "telephone_number": "860-214-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SIXTH STREET",
            "address_2": "NY METHODIST - PATHOLOGY DEPT. - CARRINGTON FLOOR 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-780-3634",
            "fax_number": "718-780-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "NHU",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CT",
            "license": "040466",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "220631-1",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "RI",
            "license": "MD 14102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001404665",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAONHU",
            "last_name": "NGO",
            "middle_name": "THI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.