1649318056 NPI number — DR. NATHALIE Q NGUYEN M.D,PLLC

Table of content: DR. NATHALIE Q NGUYEN M.D,PLLC (NPI 1649318056)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649318056 NPI number — DR. NATHALIE Q NGUYEN M.D,PLLC

Organization/Personal Information

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

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1649318056
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
291 BROADWAY RM 1803
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:
10007-1889
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:
291 BROADWAY
Provider Second Line Business Practice Location Address:
SUITE 1803
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10007-1814
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:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , 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: 7916771 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 366380101 . This is a "HEALTHPLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: OM3007 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203012801 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 225243 . This is a "METROPLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2299249 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2570464 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3K5931 . This is a "BLUE CROSS/BLUESHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: A17361 . This is a "1199" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133936687 . This is a "UPN ELITE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203012801 . This is a "NYSHIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 207500P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203012801 . This is a "BEECHSTREET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 203012801 . This is a "TAX ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 203012801 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3645118 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0643877 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com