MINH TAM PHAM PA-C
NPI 1164227245
Physician Assistant - Medical in Long Island City, NY
About Minh Tam Pham Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINH TAM PHAM PA-C (NPI 1164227245) is an individual medical provider in Long Island City, New York and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Minh Tam Pham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Minh Tam Pham's NPI number?
The NPI number for Minh Tam Pham is 1164227245. It was assigned to this individual provider in the NPPES registry on February 13, 2025.
Where is Minh Tam Pham located?
Minh Tam Pham practices at 2518 Queens Plz S, Long Island City, NY 11101. The listed phone number is (646) 647-1261.
What is Minh Tam Pham's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Minh Tam Pham enrolled in Medicare?
Yes. Minh Tam Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Minh Tam Pham was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Minh Tam Pham, PA-C · NPI 1164227245
Medical physician in Long Island City, New York. Individual provider, active in the CMS NPPES registry since February 13, 2025.
## Identity
- **NPI:** 1164227245 (Entity type: Individual)
- **Enumerated:** February 13, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 2518 QUEENS PLZ S, Long Island City, NY 11101-4101
- **Phone:** (646) 647-1261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Saint Louis University School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** April 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164227245) · Data from the CMS NPPES public registry.