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STEVEN M NGUYEN M.D.
NPI 1609166461
Family Medicine in Wayne, NJ

Active since April 13, 2011PECOS EnrolledAccepts Medicare Assignment
510 HAMBURG TPKE STE 101, WAYNE, NJ 07470(973) 942-6005(973) 942-6009 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Steven M Nguyen M.d. NPPES

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

STEVEN M NGUYEN M.D. (NPI 1609166461) is an individual family medicine provider in Wayne, New Jersey, licensed in New Jersey (25MA09346200) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Rutgers New Jersey Medical School (2011).

NPPES Registry Identity

NPI1609166461
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEVEN M NGUYENCredential: M.D.
Location Address510 HAMBURG TPKE STE 101Wayne, NJ 07470-2033
Mailing Address18b NobhillRoseland, NJ 07068-3800 · (856) 366-3337
Phone(973) 942-6005
Fax(973) 942-6009
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2011
Enumeration DateApril 13, 2011
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1609166461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA09346200
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
510 HAMBURG TPKE STE 101, Wayne, NJ 07470
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Steven M Nguyen M.d. 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 ID1355565060
PECOS Enrollment IDI20140620000482
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Steven Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Haledon Medical, PC
0.6 mi
Specialist
510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
NPI 1477624088 (973) 942-6005
Virtua Medical Group, PA
72 mi
Urgent Care
555 HIGH ST STE 16A
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1851841696 (609) 444-5610

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
355 services214 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services96 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services68 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
60 services60 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services16 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims30 services$6.15 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims1,080 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers15 claims15 services$26.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MS. RENJINI RAJAN AANP-C, GANP-C
Nurse Practitioner (Adult Health)
510 HAMBURG TPKE STE 101
WAYNE, NJ 07470
Passaic County (973) 653-9485

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 Steven Nguyen's NPI number?

The NPI number for Steven Nguyen is 1609166461. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Steven Nguyen located?

Steven Nguyen practices at 510 Hamburg Tpke Ste 101, Wayne, NJ 07470. The listed phone number is (973) 942-6005.

What is Steven Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Steven Nguyen enrolled in Medicare?

Yes. Steven 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.

Which organizations bill Medicare for Steven Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Nguyen reassigns Medicare benefits to 2 organizations: North Haledon Medical, PC (Wayne, NJ) and Virtua Medical Group, PA (Mount Holly, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Nguyen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Steven Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Steven Nguyen affiliated with any hospitals?

According to CMS data, Steven Nguyen is affiliated with Cooper University Hospital, West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Nguyen was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.