Xiaoyuan Zhao Physician PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

217007 Issued in NY

Legal business name

XIAOYUAN ZHAO PHYSICIAN PLLC

Practice address

80 Bowery RM 401
New York, NY 10013-4664

Phone

(212) 966-8454

Fax

(212) 966-1846

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Xiaoyuan Zhao, M.D.NPI 1114006012

Title

President

Phone

(212) 966-8454

Specialties & licenses 1

Addresses

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.

• Xiaoyuan Zhao, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1114006012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1174829642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BOWERY RM 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134664",
            "telephone_number": "212-966-8454",
            "fax_number": "212-966-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BOWERY RM 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134664",
            "telephone_number": "212-966-8454",
            "fax_number": "212-966-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIAOYUAN ZHAO PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "XIAOYUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-966-8454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rui Xiao, RDN
• Shun Ru Xiao
• Wenbin Xiao, M.D.
• Yihan Xiao
• Yingxin Xiao, PA-C
• Vivien Xin-Lan Xie Cherng, MD
• Xie Yi Medical Office, P.C.
• Carin Jin Xie
• Chao Xie, FNP-BC
• Cindy Xie

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.