DR. FREDDY NGUYEN MD, PHD
NPI 1093275539
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is Freddy Nguyen's NPI number?

The NPI number for Freddy Nguyen is 1093275539. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Freddy Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Freddy Nguyen was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2019PECOS Enrolled

1468 MADISON AVE, NEW YORK, NY 10029(617) 401-7182 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Freddy Nguyen Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDDY NGUYEN MD, PHD (NPI 1093275539) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093275539

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. FREDDY NGUYENCredential: MD, PHD

Location Address1468 MADISON AVENew York, NY 10029-6508

Mailing Address1468 Madison AveNew York, NY 10029-6508 · (617) 401-7182

Phone(617) 401-7182

Sole ProprietorNo

Enumeration DateMarch 21, 2019

✔ NPI 1093275539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1468 MADISON AVE, New York, NY 10029

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Freddy Nguyen Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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