Individual provider Active NPI

Charlene Xu, LAC

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1104029800
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
002844-1 Issued in NY
Practice address
4028 College Point Blvd Apt 1110
Flushing, NY 11354-5151
Phone
(646) 894-8963
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002844-1 NY Primary

Addresses

Primary practice location

4028 College Point Blvd Apt 1110
Flushing, NY 11354-5151

Mailing address

4028 College Point Blvd Apt 1110
Flushing, NY 11354-5151
Phone (646) 894-8963

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherNY002844-1

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

LicenseStateTypeSpecialty
002844-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yimai Acupuncture P.C. Acupuncturist Current Accepting new patients
Affinity Acupuncture Health Care PLLC Acupuncturist PastSince Apr 21, 2024 Accepting new patients
Cmors Group LLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1104029800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 COLLEGE POINT BLVD APT 1110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545151",
            "telephone_number": "646-894-8963",
            "fax_number": "619-268-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 COLLEGE POINT BLVD APT 1110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545151",
            "telephone_number": "646-894-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "CHARLENE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002844-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "002844-1",
            "identifier": "LICENSE",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.