Active NPI
Theresa Bich Tran Dao, M.D.
- Emergency Medicine Physician
- New York, NY
National Provider Identifier
1972943017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 289040
- Practice address
- 1150 3Rd Ave
New York, NY 10065 - Phone
- (212) 933-0007
- NPI assigned
- Jul 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 289040 | NY | Primary |
Addresses
Primary practice location
1150 3Rd Ave
New York, NY 10065
Mailing address
1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435
Other practice location 1
234 E 149th St
Department of Emergency Medicine
Bronx, NY 10451-5504
Phone (718) 579-6011
Other practice location 2
600 E 233rd St
Bronx, NY 10466-2604
Phone (917) 920-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972943017 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 289040 | NY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1972943017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 RXR PLZ FL 13",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115561301",
"telephone_number": "516-453-0435",
"fax_number": "646-846-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-933-0007"
}
],
"practiceLocations": [
{
"address_1": "234 E 149th St",
"address_2": "Department of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104515504",
"country_code": "US",
"telephone_number": "718-579-6011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 E 233rd St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104662604",
"country_code": "US",
"telephone_number": "917-920-9177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAO",
"first_name": "THERESA",
"middle_name": "BICH TRAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "289040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972943017",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.