Active NPI
Xingong Gao, LAC PT DPT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013918 1
- Practice address
- 401 Broadway
Ste 709
New York, NY 10013-3018 - Phone
- (212) 625-9290
- Fax
- (212) 925-3101
- NPI assigned
- Nov 8, 2005
- Last updated
- Jul 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002222 1 | NY | |
| Physical Therapist | 225100000X | 013918 1 | NY | Primary |
Addresses
Primary practice location
401 Broadway
Ste 709
New York, NY 10013-3018
Mailing address
401 Broadway
Ste 709
New York, NY 10013-3018
Phone (212) 625-9290
Other names 1
- Greg Xingong Gao
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 N Central Ave
Suite 240
Hartsdale, NY 10530-1938
Phone (914) 421-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013918 | NY | MD | Social Worker |
| 002222 1 | NY | MD | Acupuncturist |
| 013918 1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Gao Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Westchester Gao Physical Therapy | Current | Accepting new patients | |
| Wensong Li Medicine PC | Current | Accepting new patients | |
| New York Gao Physical Therapy PC | Acupuncturist | Current | Accepting new patients |
| Holt Chiropractic Offices, P.C. | Past | Accepting new patients |
Locations
13620 Maple Ave
Ste 601
Flushing, NY 11355
Phone (718) 886-8562
13625 Maple Ave
Ste 201
Flushing, NY 11355
Phone (718) 886-8562
4235 Main St
Ste 3A
Flushing, NY 11355
Phone (718) 630-7616
111 N Central Ave
Ste 240
Hartsdale, NY 10530
Phone (914) 421-1600
139 Centre St
Ste 708
New York, NY 10013
Phone (212) 625-9290
401 Broadway
Ste 1808
New York, NY 10013
Phone (212) 625-9290
401 Broadway
Ste 709
New York, NY 10013
Phone (212) 625-9290
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba United Interventional Pain Management
- Pain Medicine (Anesthesiology) Physician
- Flushing, NY
- NPI 1609085810
-
- Clinic/Center
- Hartsdale, NY
- NPI 1477729432
-
- Orthopedic Chiropractor
- Yonkers, NY
- NPI 1881895746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1013998962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BROADWAY",
"address_2": "STE 709",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133018",
"telephone_number": "212-625-9290",
"fax_number": "212-925-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BROADWAY",
"address_2": "STE 709",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133018",
"telephone_number": "212-625-9290",
"fax_number": "212-925-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "XINGONG",
"credential": "LAC PT DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002222 1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013918 1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GREG",
"last_name": "GAO",
"middle_name": "XINGONG",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.