Active NPI
Kimberley Nguyen, OD
- Optometrist
- New York, NY
National Provider Identifier
1982192050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008760
- Practice address
- 33 W 42ND St
New York, NY 10036 - Phone
- (212) 938-4000
- NPI assigned
- Apr 24, 2018
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008760 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
New York, NY 10036
Mailing address
4310 Crescent St Apt 1115
Long Island City, NY 11101-4246
Phone (718) 737-2040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008760 | NY | MD | Optometrist |
Interoperability endpoints
- knguyen564634@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1982192050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 CRESCENT ST APT 1115",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014246",
"telephone_number": "718-737-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10036",
"telephone_number": "212-938-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIMBERLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008760",
"primary": true
}
],
"identifiers": [],
"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 Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.