Active NPI
Jing Xu, M.D.
- Family Medicine Physician
- Elmhurst, NY
National Provider Identifier
1326459496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 290584
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 290584 | NY | |
| Family Medicine Physician | 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jing Xu MD, PLLC | Multi-Specialty | Current | 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 | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Current | 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
- https://fhir4.healow.com/fhir/r4/HDHIDD/Endpoint/HDHIDD
- 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.
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Multi-Specialty
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1184977324
Multi-Specialty
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.