Look up the most recent NPI and PECOS records

Jacqueline Nghiem

Family Medicine

Allopathic & Osteopathic Physicians

10800 Knights Rd, Philadelphia, PA 19114-4200

PECOS Enrollment

Based on the most recent information from CMS, provider Jacqueline Nghiem is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 33 days ago.

Profile Details

Provider ID
1225522808
Provider Type
Individual
Full Name
Nghiem, Jacqueline
Gender
Female

Sole Proprietor
No
Enumeration Date
6/18/2018
Last Updated
11/18/2023

Contact Information

Practice Location

10800 Knights Rd, Philadelphia, PA 19114-4200

(215) 612-5161

(215) 612-4069

Mailing Location

10800 Knights Rd, Philadelphia, PA 19114-4200

(215) 612-5161

(215) 612-4069

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 25MB11554000 New Jersey

Jacqueline Nghiem

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ball, Robert A

Buss, Derek

Artz, William J

Glickman, Jay

Delgado, Nicolas Felipe

Stevens, Eric C

Mehta, Jaya

Trachtenberg, Jerry Milton

Schecter, Herbert M

Scaven, Christopher