Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LAURENCE NGUYEN DO
NPI 1215820980
Student in an Organized Health Care Education/Training Program in Utica, NY

Active since June 02, 2025PECOS Enrolled
111 HOSPITAL DR, UTICA, NY 13502(315) 917-9966(315) 234-3998 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2026, Jun 2, 2025 (2 updates tracked since 2025).

About Laurence Nguyen Do NPPES

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

LAURENCE NGUYEN DO (NPI 1215820980) is an individual student in an organized health care education/training program in Utica, New York and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215820980
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLAURENCE NGUYENCredential: DO
Location Address111 HOSPITAL DRUtica, NY 13502-2517
Mailing Address111 Hospital DrUtica, NY 13502-2517 · (315) 624-6100
Fax(315) 234-3998
Sole ProprietorNo
Enumeration DateJune 2, 2025
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1215820980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

111 HOSPITAL DR, Utica, NY 13502

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Laurence Nguyen Do 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.

Physician Assistant
111 HOSPITAL DR
UTICA, NY 13502
Pediatrics (Neonatal-Perinatal Medicine)
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215820980, enumerated as an "individual" on June 02, 2025.

The provider is located at 111 HOSPITAL DR UTICA, NY 13502 and the phone number is (315) 917-9966.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.