QUENTIN PHUNG MD NPI 1306040936

NPI Information

NPI: 1306040936
Provider Name: QUENTIN PHUNG, MD
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Specialization: Pain Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 9 OLD PLANK RD
SUITE 100
CLIFTON PARK, NY
ZIP 12065
Phone: (518) 371-0777

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NPI Details

Quentin Phung, MD is a pain medicine physical medicine rehabilitation in Clifton Park, NY. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Quentin Phung, MD NPI is 1306040936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9 OLD PLANK RD
SUITE 100
CLIFTON PARK, NY
ZIP 12065-107
Phone: (518) 371-0777
Fax: (518) 371-0366

The NPI 1306040936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		A234866	NEW YORK	No
2	208VP0000X	Pain Medicine	Pain Medicine	234866	NEW YORK	No
3	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	234866-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03056902	MEDICAID	NEW YORK
2	000418627001	OTHER	NEW YORK	BSNENY PIN - SPECIALIST
3	000418627005	OTHER	NEW YORK	BSNENY PIN - ACUPUNTURIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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