Provider Demographics
NPI:1396732772
Name:NGUYEN, HELENE T (DPM)
Entity type:Individual
Prefix:DR
First Name:HELENE
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2412
Mailing Address - Country:US
Mailing Address - Phone:908-576-0880
Mailing Address - Fax:908-576-0881
Practice Address - Street 1:188 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2412
Practice Address - Country:US
Practice Address - Phone:908-576-0880
Practice Address - Fax:908-576-0881
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00283900213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0070165Medicaid
NJ0070165Medicaid
NJV04724Medicare UPIN