NPIMap

Organization Active NPI

Xu Z. Chen Psychiatrist, LLC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1245306612
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
219912 Issued in NY
Legal business name
XU Z. CHEN PSYCHIATRIST, LLC
Practice address
837 58TH Street, 3FL
Brooklyn, NY 11220-3662
Phone
(718) 686-1533
Fax
(718) 686-8121
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Dr. Xu Zhang Chen, M.D.NPI 1841410503
Title
Ceo/President
Phone
(718) 576-3610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 219912 NY Primary

Addresses

Primary practice location

837 58TH Street, 3FL
Brooklyn, NY 11220-3662

Mailing address

6304 5TH Avenue, 1FL
Brooklyn, NY 11220-4911
Phone (718) 576-3610

Other identifiers 1

IdentifierTypeStateIssuer
02182401MedicaidNY

Other names 1

  • Xu Z. Chen Psychiatrist, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000397 NY Part B Supplier - Clinic/Group Practice 4385682657 Receives reassigned benefits from 20 practitioners
Practice locations: Brooklyn, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

6304 5th Ave
Ste 1
Brooklyn, NY 11220
Phone (718) 576-3610

13107 40th Rd
Fl 5
Flushing, NY 11354
Phone (646) 450-9969

13107 40th Rd
Ste E25
Flushing, NY 11354
Phone (718) 661-3000

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1245306612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 5TH AVENUE, 1FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204911",
            "telephone_number": "718-576-3610",
            "fax_number": "718-576-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 58TH STREET, 3FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-686-1533",
            "fax_number": "718-686-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XU Z. CHEN PSYCHIATRIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "XU",
        "authorized_official_middle_name": "ZHANG",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "718-576-3610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "219912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02182401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xu Z. Chen Psychiatrist, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.