Active NPI
Eileen P Xie, DMD
- General Practice Dentistry
- Perth Amboy, NJ
National Provider Identifier
1346507084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1856198
- Practice address
- 275 Hobart St
Perth Amboy, NJ 08861 - Phone
- (732) 376-9333
- NPI assigned
- Apr 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1856198 | MA | Primary |
Addresses
Primary practice location
275 Hobart St
Perth Amboy, NJ 08861
Mailing address
275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0524549 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609001093 | NJ | Order and Referring Only - Dentist | 8729378351 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856198 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1346507084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 HOBART ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613396",
"telephone_number": "732-376-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 HOBART ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "08861",
"telephone_number": "732-376-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIE",
"first_name": "EILEEN",
"middle_name": "P",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1856198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0524549",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
- Marian Denzer Wiener, MSW LCSW
- Wije Kottahachchi, MD Faap
- James Charles Wolff, D.C.
- Christina M Wong, OT
- Elena Wood, PH.D.
- Kameshwar Prasad Yadav
- Dingming Yang, MD
- Young Men's Christian Association Raritan Bay Area
- Young Men's Christian Association Raritan Bay Area
- Young Men's Christian Association Raritan Bay Area
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.