Tristy T Nguyen, PHYSICIAN ASSISTANT
Physician Assistant in Pennsauken, New Jersey
1770166357- Practice location
- 5434 Burwood Ave, Pennsauken, NJ 08109-4706
- Phone
- 856-857-7198
- Fax
- —
- Last updated
- May 3, 2021
Tristy Tra Nguyen is a Physician Assistant based in Pennsauken, NJ. Tristy Tra Nguyen practices in Pennsauken, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Tristy Tra Nguyen is 1770166357 and holds a License No. 25MP00617900 (NJ). The current practice location address for Tristy Tra Nguyen is 5434 Burwood Ave, Pennsauken, NJ 08109-4706 and can be reached out via phone at 856-857-7198.
Provider Profile Details
- NPI Number
- 1770166357
- Provider Name
- Tristy Tra Nguyen
- Credential
- PHYSICIAN ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5434 Burwood Ave, Pennsauken, NJ 08109-4706
- Phone Number
- 856-857-7198
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 3, 2021
- Last Update Date
- May 3, 2021
- Certification Date
- January 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5434 Burwood Ave
Pennsauken, NJ 08109-4706 - City
- Pennsauken
- State
- New Jersey
- Zip
- 08109-4706
- Phone Number
- 856-857-7198
Provider Business Mailing Address Details
- Address
- 5434 Burwood Ave
Pennsauken, NJ 08109-4706 - City
- Pennsauken
- State
- NJ
- Zip
- 08109-4706
- Phone Number
- 856-857-7198
License Information
- License Number
- 25MP00617900
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Pennsauken, NJ
View all Physician Assistants in Pennsauken →Frequently Asked Questions
What is the NPI number of Tristy T Nguyen, PHYSICIAN ASSISTANT?
The NPI number of Tristy T Nguyen, PHYSICIAN ASSISTANT is 1770166357. It was assigned on May 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Tristy T Nguyen, PHYSICIAN ASSISTANT?
Tristy T Nguyen, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00617900.
Where does Tristy T Nguyen, PHYSICIAN ASSISTANT practice?
The practice location is 5434 Burwood Ave, Pennsauken, NJ 08109-4706. The office can be reached at 856-857-7198 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770166357 directly on the NPPES registry website.