Active NPI
Xue Zhen Fan
- Acupuncturist
- New York, NY
National Provider Identifier
1023389384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- #003618
- Practice address
- 401 Broadway
1203
New York, NY 10013-3005 - Phone
- (212) 334-0589
- Fax
- (212) 334-0589
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | #003618 | NY | Primary |
Addresses
Primary practice location
401 Broadway
1203
New York, NY 10013-3005
Mailing address
401 Broadway
1203
New York, NY 10013-3005
Phone (212) 334-0589
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #003618 | Other | NY | ACUPUNCTURE LICENSE |
| #003618 | Other | NY | PRACTICE ACUPUNCTURE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #003618 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1023389384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BROADWAY",
"address_2": "1203",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133005",
"telephone_number": "212-334-0589",
"fax_number": "212-334-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BROADWAY",
"address_2": "1203",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133005",
"telephone_number": "212-334-0589",
"fax_number": "212-334-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "XUE ZHEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "#003618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE",
"identifier": "#003618",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTICE ACUPUNCTURE LICENSE",
"identifier": "#003618",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.