Active NPI
Jing Xu MD, PLLC
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1346837952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JING XU MD, PLLC
- Practice address
- 8708 Justice Ave Apt 1E
Elmhurst, NY 11373-4576 - Phone
- (718) 683-9106
- Fax
- (718) 683-9107
- NPI assigned
- Dec 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jing Xu, MD
- Title
- MD
- Phone
- (718) 683-9106
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 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
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2211150 | Jing Xu MD PLLC | Certificate of waiver | Jan 25, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1346837952",
"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": {
"organization_name": "JING XU MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "XU",
"authorized_official_first_name": "JING",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-683-9106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"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 Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.