Xiao Ji Chen, MD

Key facts

NPI

1366936742

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

25MA11050800 (NJ)

Practice address

1180 Raritan Rd
Clark, NJ 07066-1311

Phone

(848) 308-4505

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

Yes

Organizations & group practices 6

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.

• Hackensack Meridian Urgent Care, PC Urgent Care Clinic/Center · Freehold, NJ · NPI 1285165209
  Medicare reassignment Care Compare group NPD NJ · SINGLE SPECIALTY
• Excel Urgent Care of NJ LLC Urgent Care Clinic/Center · Old Bridge, NJ · NPI 1255742243
  Medicare reassignment NPD NJ · SINGLE SPECIALTY
• Prohealth Urgent Care Medicine of New Jersey LLP Emergency Care Clinic/Center · Edgewater, NJ · NPI 1477927754
  Medicare reassignment NPD NJ · SINGLE SPECIALTY
• Atlantic Urgent Care, LLC General Practice Physician · Newton, NJ · NPI 1023358959
  NPD SINGLE SPECIALTY
• William R. Collini, M.D., P.a. Specialist · Newton, NJ · NPI 1144426602
  NPD (past) SINGLE SPECIALTY
• Northern Ohio Medical Specialists, LLC Radiology Clinic/Center · Sheffield Village, OH · NPI 1508811332
  NPD (past)

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Meridian Urgent Care PC (50 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 12, 2025.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1366936742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661311",
            "telephone_number": "848-308-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661311",
            "telephone_number": "848-308-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "XIAO",
        "middle_name": "JI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11050800",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301115844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles M Cummins OD PA
• Adonis Cheng, DO
• Abel John Cherian, M.D.
• Sindhu Cherukupalli, BCBA
• Lori A Chesnock, PT, MS
• Dwight C Chien, L.AC., D.AC., PH.D.

All providers in Clark, NJ · Family Medicine Physician in New Jersey