Xiang Luo, M.D., P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

215472 Issued in NY

Legal business name

XIANG LUO, M.D., P.C.

Practice address

216-16 Union Turnpike
Bayside, NY 11364-3525

Phone

(718) 465-4000

Fax

(718) 776-6823

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Xiang Nong Luo, M.D.NPI 1972690832

Title

President

Phone

(718) 465-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xiang Nong Luo, MD

  • Physical Medicine & Rehabilitation Physician
  • Bayside, NY
  • NPI 1972690832
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1023202686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217-62 PECK AVENUE.",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271118",
            "telephone_number": "718-465-4000",
            "fax_number": "718-776-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216-16 UNION TURNPIKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643525",
            "telephone_number": "718-465-4000",
            "fax_number": "718-776-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIANG LUO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "XIANG",
        "authorized_official_middle_name": "NONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-465-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "215472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02121460",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suet M. Wu, D.D.S., P.C.
• Yaqing Wu, M.D
• X-Treme Care, LLC
• X-Treme Home Care, Inc.
• Wei N/a Xia
• Xoxo Pharmacy Inc.
• Juan Xu, L.AC
• Ting Xu
• Ying Xu, FNP-BC
• Savannah Rose Yablonski, DPT

• Physical Medicine & Rehabilitation Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.