KHANH Q NGUYEN (PA C) – Physician Assistant, NPI 1164417010

KHANH Q NGUYEN (PA C) is a healthcare provider. based in Wayne, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. PA9102312 (FL). The NPI Number for KHANH Q NGUYEN (PA C) is 1164417010

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KHANH Q NGUYEN (PA C)
NPI
1164417010
Phone
(973) 826-8287
Address
145 US HIGHWAY 46
Enumeration Date
16 September 2005
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
4073033827
Graduation Year
1996 (30 years ago)
PAC ID
0143404640
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20110407000372
Address ID
FL347474970KI400XXPLXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for KHANH Q NGUYEN (PA C)

  • 145 US HIGHWAY 46

    SUITE 304

    WAYNE, NJ 074706830

    Phone: (973) 826-8287

    Fax: (855) 834-5435

    Type: Mailing

  • Edgewater Drive, College Park, Orlando, Orange County, Florida, 32804, United States

    ORLANDO, FL 328042206

    Phone: (407) 539-2000

    Fax: (407) 398-0050

    Type: Location

  • 4215 Edgewater Dr

    Orlando, FL 328042206

    Phone: (407) 539-2000

    Fax: (407) 398-0050

    Type: Location

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 609-0095

    Fax: (407) 609-0096

    Type: Location

  • PO BOX 4059

    WAYNE, NJ 074744059

    Phone: (973) 826-8291

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $440.

Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($173).

Total Amount

$440

General + Research + Ownership

Payments

6

Total payment records

General Amount

$440

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110407000372IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee8682$0
27130Replacement of thigh bone and hip joint with prosthesis3130$0
View full utilization report →

Insurance plans in this area (ZIP 07470)

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Provider's Procedures

KHANH Q NGUYEN (PA C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL27447Repair of knee joint2323

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

Does KHANH Q NGUYEN (PA C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KHANH Q NGUYEN (PA C) uses 1164417010.
Is KHANH Q NGUYEN (PA C) still practicing?
KHANH Q NGUYEN (PA C) is currently listed as active in the public NPI registry.
What is KHANH Q NGUYEN (PA C)'s specialty?
The listing groups KHANH Q NGUYEN (PA C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does KHANH Q NGUYEN (PA C) serve?
KHANH Q NGUYEN (PA C)'s listing highlights Wayne, New Jersey; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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