MR. PHAT TRAN


Address: 111 E 210th St, Bronx, NY 10467-2401
Phone: 9187206136

MR. PHAT TRAN (NPI# 1992172068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992172068
Entity Type Individual
Full Name MR. PHAT TRAN
Credential AGACNP-BC
Practice Address 111 E 210th St
Bronx
NY 10467-2401
Mailing Address 2516 30th Dr Apt 1f
Astoria
NY 11102-2733
Practice Telephone 9187206136
Mailing Telephone 9152619010
Enumeration Date 2015-08-25
Last Update Date 2015-08-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
43430925 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers PHAT TRAN

NPI Name Taxonomy Address Enumeration
1821497348 Phat H Tran Pharmacist 7700 Brooklyn Blvd, Brooklyn Park, MN 55443-2906 2014-08-20
1184847162 Phat Tran Dentist 13309 Brookhurst St, Garden Grove, CA 92843-3117 2007-04-10
1790708238 Phat Tan Tran Anesthesiology 41 E Post Rd, White Plains, NY 10601-4607 2006-07-25

Office Location

Street Address 111 E 210TH ST
City BRONX
State NY
Zip Code 10467-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083619373 Caletha Dicks Nurse Anesthetist, Certified Registered 111 E 210th St, Bronx, NY 10467-2401 2005-06-14
1124629118 Ali Liakat Pharmacist 111 E 210th St, Bronx, NY 10467-2401 2020-11-05
1225639347 Michael Boadu Pharmacist 111 E 210th St, Bronx, NY 10467-2401 2020-11-04
1770183501 Michelle Marsalisi Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2020-10-30
1598364606 Denise Sarah Dailey Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-20
1619574167 Amina Khan Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-07
1043817679 Farzaneh Hosein Khezri Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-06
1366049330 Shafaq Zaman Tarar Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-02
1972110450 Assi Milwidsky Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-09-28
1518574243 Sudhakar Basetty Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437707395 Dania Munoz Nurse Practitioner 254 E 202nd St Apt 7h, Bronx, NY 10458-1661 2019-09-03
1912434291 Melissa Aldahondo Nurse Practitioner 1108 Ellsworth Ave, Bronx, NY 10465-1413 2017-05-17
1992139018 Tatiana Burgess Nurse Practitioner 5 Fordham Hill Oval Apt 1f, Bronx, NY 10468-4844 2013-08-26
1770634826 Sunmi Yoo Nurse Practitioner Lincoln Hospital 149th Street, Bronx, NY 10451 2007-01-16
1639776388 Chelsea Onuorah Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-06
1508360272 Patricia Davis Nurse Practitioner 111 E 210th St, Bronx, NY 10467-2401 2018-03-19
1356896609 Christine Mastroddi Nurse Practitioner 1400 Pelham Pkwy S, Bronx, NY 10461-1138 2016-08-16
1801252838 Bamidele Njoku Nurse Practitioner 3400 Bainbridge Ave, Bronx, NY 10467-2404 2016-01-06
1477925170 Yevgeniya Nepomnyashchaya Nurse Practitioner 111 E 210th St, Bronx, NY 10467-2401 2015-10-21
1255733739 Alice Chan Nurse Practitioner 1825 Eastchester Rd, Bronx, NY 10461-2301 2014-09-16
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Competitor

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City BRONX
Zip Code 10467

Improve Information

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Dataset Information

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.

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