Individual provider Active NPI

Jing Xu, M.D.

  • Family Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1326459496
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
290584 Issued in NY
Practice address
8708 Justice Ave Apt 1E
Elmhurst, NY 11373-4576
Phone
(718) 683-9106
Fax
(718) 683-9107
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 290584 NY
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 290584 NY Primary

Addresses

Primary practice location

8708 Justice Ave Apt 1E
Elmhurst, NY 11373-4576

Mailing address

8708 Justice Ave Apt 1E
Elmhurst, NY 11373-4576
Phone (718) 683-9106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913001230 NY Practitioner - Internal MedicinePractitioner - Hospitalist 4385917319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8708 Justice Ave
Apt 1E
Elmhurst, NY 11373-4576
Phone (718) 683-9106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jing Xu MD, PLLC Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHIDD/Endpoint/HDHIDD
  • Direct secure messaging: xjing1494032@nychhc.direct-ci.com

Organizations & group practices 4

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1326459496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE APT 1E",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734576",
            "telephone_number": "718-683-9106",
            "fax_number": "718-683-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE APT 1E",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734576",
            "telephone_number": "718-683-9106",
            "fax_number": "718-683-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290584",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "290584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.