MR. NGUYEN KHOI NGUYEN PA-C
NPI 1366117780
Physician Assistant in Brooklyn, NY

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment
74 WALLABOUT ST, BROOKLYN, NY 11249(239) 628-9668 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2023, May 6, 2023, Aug 9, 2021 (3 updates tracked since 2021).

About Mr. Nguyen Khoi Nguyen Pa-c NPPES

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

MR. NGUYEN KHOI NGUYEN PA-C (NPI 1366117780) is an individual physician assistant in Brooklyn, New York, licensed in New York (026992) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366117780
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. NGUYEN KHOI NGUYENCredential: PA-C
Location Address74 WALLABOUT STBrooklyn, NY 11249-7830
Mailing Address15211 89th Ave Apt 309Jamaica, NY 11432-3768 · (239) 628-9668
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 9, 2021
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1366117780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 026992
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

74 WALLABOUT ST, Brooklyn, NY 11249

Other Names 1

Professional Name (2)Khoi Nguyen

Other Identifiers 1

Medicaid06875603NY

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

Mr. Nguyen Khoi Nguyen 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.

PECOS PAC ID7911390935
PECOS Enrollment IDI20220215000715
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
74 WALLABOUT ST
BROOKLYN, NY 11249
Physician Assistant
74 WALLABOUT ST
BROOKLYN, NY 11249
Pharmacy (Community/Retail Pharmacy)
74 WALLABOUT ST
BROOKLYN, NY 11249
Physician Assistant
74 WALLABOUT ST
BROOKLYN, NY 11249
Pharmacist
74 WALLABOUT ST
BROOKLYN, NY 11249
Family Medicine
74 WALLABOUT ST
BROOKLYN, NY 11249
Physician Assistant
74 WALLABOUT ST
BROOKLYN, NY 11249
Nurse Practitioner (Adult Health)
74 WALLABOUT ST
BROOKLYN, NY 11249

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 Nguyen Nguyen's NPI number?

The NPI number for Nguyen Nguyen is 1366117780. It was assigned to this individual provider in the NPPES registry on August 9, 2021. The provider is also known as Khoi Nguyen.

Where is Nguyen Nguyen located?

Nguyen Nguyen practices at 74 Wallabout St, Brooklyn, NY 11249. The listed phone number is (239) 628-9668.

What is Nguyen Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nguyen Nguyen enrolled in Medicare?

Yes. Nguyen Nguyen 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 Nguyen Nguyen was last updated on May 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.