Provider Demographics
NPI:1336249523
Name:NGUY, STEVEN T (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:NGUY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLAZA
Practice Address - Street 2:THE COOPER HOSPITALIST TEAM
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-3150
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA62889207R00000X
NJ25MA06288900208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1078071OtherHORIZON NJ HEALTH
NJ18835OtherUNIVERSITY HEALTH PLAN
NJ2838653OtherCIGNA
NJ84656OtherAMERIGROUP
NJ0369105000OtherAMERIHEALTH HMO
NJ3K6192OtherHEALTHNET, INC
NJ010002163OtherAMERICHOICE
NJ1734922OtherUNITED HEALTHCARE
NJ7297602Medicaid
NJ952588OtherAMERIHEALTH PPO PABS
NJP763279OtherOXFORD
NJ975095OtherAETNA USHEALTHCARE
NJP763279OtherOXFORD
NJ1734922OtherUNITED HEALTHCARE
NJ2838653OtherCIGNA