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PHUONG NGAN NGUYEN BA MD
NPI 1417897802
Student in an Organized Health Care Education/Training Program in Long Island City, NY

Active since March 30, 2026
3611 21ST ST, LONG ISLAND CITY, NY 11106(718) 482-7772 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phuong Ngan Nguyen Ba Md NPPES

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

PHUONG NGAN NGUYEN BA MD (NPI 1417897802) is an individual student in an organized health care education/training program in Long Island City, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1417897802
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePHUONG NGAN NGUYEN BACredential: MD
Location Address3611 21ST STLong Island City, NY 11106-4705
Mailing Address3611 21st StLong Island City, NY 11106-4705
Phone(718) 482-7772
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 28, 2026
✔ NPI 1417897802 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.
3611 21ST ST, Long Island City, NY 11106
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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.

DR. NICOLE ASHLEY SIROTIN M.D.
Internal Medicine
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
ERICA K HAHN CPNP
Nurse Practitioner (Pediatrics)
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
MS. ROSEMARIE RICCIARDI OLIVERA CNM
Advanced Practice Midwife
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
DR. ERICA G. PHILLIPS MD, MS
Internal Medicine
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
PRINA PANDYA AMIN M.D.
Pediatrics
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
MADELEINE AMDUR LCSW
Social Worker (Clinical)
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
GANDHY MAGALLY MONTALVO ROSALES MD
Student in an Organized Health Care Education/Training Program
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
DR. ANDREA DIONE CARD M.D.
Internal Medicine
3611 21ST ST
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772

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 Phuong Ngan Nguyen Ba's NPI number?

The NPI number for Phuong Ngan Nguyen Ba is 1417897802. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Phuong Ngan Nguyen Ba located?

Phuong Ngan Nguyen Ba practices at 3611 21st St, Long Island City, NY 11106. The listed phone number is (718) 482-7772.

What is Phuong Ngan Nguyen Ba's specialty?

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

When was this NPI record last updated?

The NPPES record for Phuong Ngan Nguyen Ba was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.