PHUONG PHAM (NPI# 1306497102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306497102 |
| Entity Type | Individual |
| Full Name | PHUONG PHAM |
| Practice Address |
1500 Waters Pl Bronx NY 10461-2723 |
| Practice Telephone | 9293483464 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
558257-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094098 | Phuong Pham | Registered Nurse | 881 W Macaw Dr, Chandler, AZ 85286-7622 | 2020-08-18 |
| 1366085946 | Phuong Tuan Pham | Pharmacist | 1926 Crosshair Cir, Orlando, FL 32837-7402 | 2019-10-25 |
| 1932753027 | Phuong Pham | Optometrist | 1971 U.S. 287 Frontage Rd Ste 105, Mansfield, Tx 76063, Mansfield, TX 76063-7606 | 2019-07-28 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1144608993 | Phuong Pham | Non-emergency Medical Transport (VAN) | 4307 Birdseye Way, Elk Grove, CA 95758-6045 | 2015-05-13 |
| 1619247442 | Phuong Dieu Pham | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2012-01-10 |
| 1215262498 | Phuong Pham | Optometrist | 173 N Morrison Ave Ste B, San Jose, CA 95126 | 2009-10-06 |
| 1760643779 | Phuong Minh Pham | Plastic Surgery | 41540 Winchester Rd Ste B, Temecula, CA 92590 | 2008-06-23 |
| 1497814800 | Phuong Pham | Dentist | 12341 Main St, Houston, TX 77035-6205 | 2006-12-08 |
| 1669585998 | Phuong B Pham | Pharmacist | 2251 Double Creek Dr, Ste 402, Round Rock, TX 78664-3830 | 2006-08-17 |
| Street Address |
1500 WATERS PL |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215010988 | Bronx State Hospital | Psychiatric Hospital | 1500 Waters Pl, Bronx, NY 10461-2723 | 2006-10-24 |
| 1093313462 | Sutthiwut Paul Klamsathien | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2020-10-16 |
| 1780228056 | Helen Sikeade Oladunjoye | Psychiatry & Neurology | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-30 |
| 1821631375 | Pingping Liu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-28 |
| 1043853021 | Juan Ma | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-23 |
| 1992347421 | Pamela Walthall | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-16 |
| 1205478096 | Victoria Chima Duru-tanksley | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-13 |
| 1205478179 | Beryl Pearl Nwachukwu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-12 |
| 1275175192 | Alma Grace P. Oliva | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
| 1265074132 | Kechner Moise | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178192 | Edith I Cline | Registered Nurse | 1204 E 223rd St, Bronx, NY 10466-5802 | 2020-06-09 |
| 1437770989 | Rukisha Hodge | Registered Nurse | 1122 E 214th St, Bronx, NY 10469-2412 | 2020-05-06 |
| 1154963486 | Melissa S Mendez | Registered Nurse | 551 Hollywood Ave, Bronx, NY 10465-2507 | 2019-10-08 |
| 1366093742 | Xiaoling Lu | Registered Nurse | 1008 Pierce Ave, Bronx, NY 10462-3108 | 2019-09-26 |
| 1841720521 | Dustin Bradford Von Holten | Registered Nurse | 555 Bergen Ave Fl 4, Bronx, NY 10455-1368 | 2017-06-15 |
| 1578928461 | Josephine Leano | Registered Nurse | 1640 Williamsbridge Rd Apt 2, Bronx, NY 10461-6212 | 2015-12-21 |
| 1528606266 | Michael Whitley | Registered Nurse | 1775 Grand Concourse, Pgcmh 8th Fl Nursing, Bronx, NY 10453-8202 | 2019-12-12 |
| 1174169627 | George Danso | Registered Nurse | 1300 Waters Pl, Bronx, NY 10461-2714 | 2019-11-20 |
| 1386289114 | Jasper Bernales Prima | Registered Nurse | 1300 Waters Pl, Bronx, NY 10461-2714 | 2019-11-15 |
| 1619512472 | Barbara Lynn Yonkers-bondi | Registered Nurse | 1300 Waters Pl, Bronx, NY 10461-2714 | 2019-11-15 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.