Junzhe Xu, MD
Individual provider Active NPI Psychiatry Physician · Irving, NY
NPI 1265412464 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265412464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 225953-1 (NY)
- Practice address
- 845 Routes 5 & 20
Irving, NY 14081 - Phone
- (716) 934-2654
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181218003970 | NY | Order and Referring Only - Psychiatry |
4486610268 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225953-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nys Office of Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 225953-1 | NY | Yes |
Addresses
Primary practice location
845 Routes 5 & 20
Irving, NY 14081
Mailing address
135 Londonderry LN
Getzville, NY 14068-1174
Phone (716) 725-3954
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02431203 | Medicaid | NY |
Other providers in Irving, NY
- Michael J Vito
- David P. Vona
- Mallory K Ward
- Elona Michelle Wasik
- Nayomah Gail Wilson-Castle
- Christopher I Zonneville
All providers in Irving, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.