1780832642 NPI number — NATHALIE Q NGUYEN,MD PLLC

Table of content: (NPI 1780832642)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780832642 NPI number — NATHALIE Q NGUYEN,MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATHALIE Q NGUYEN,MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NATHALIE Q. NGUYEN,MD PLLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780832642
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 MURRAY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10007-2240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-233-2995
Provider Business Mailing Address Fax Number:
212-227-6577

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 MURRAY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10007-2240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-233-2995
Provider Business Practice Location Address Fax Number:
212-227-6577
Provider Enumeration Date:
09/04/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NGUYEN
Authorized Official First Name:
NATHALIE
Authorized Official Middle Name:
Q
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
212-233-2995

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  225243 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 133936687 . This is a "UPN ELITE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2570464 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 366380101 . This is a "HEALTHPLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3K5931 . This is a "BLUE CROSS/ BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: A17361 . This is a "1199" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3645118 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7916771 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 207500P . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2299249 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: OM3007 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".