Active NPI
Lin Xu, M.D.
- Internal Medicine Physician
- Hazlet, NJ
National Provider Identifier
1386671071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA071279
- Practice address
- 1 Bethany Rd
Suite 35
Hazlet, NJ 07730-1663 - Phone
- (732) 888-1203
- Fax
- (732) 888-1204
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA071279 | NJ | Primary |
Addresses
Primary practice location
1 Bethany Rd
Suite 35
Hazlet, NJ 07730-1663
Mailing address
1 Bethany Rd
Suite 35
Hazlet, NJ 07730-1663
Phone (732) 888-1203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2870156 | Other | NJ | OXFORD HEALTH PLAN |
| 7070477 | Other | NJ | AETNA |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Bethany Rd
Suite 35
Hazlet, NJ 07730-1661
Phone (732) 888-1203
Hospital & facility affiliations
- Bayshore Medical Center
- Riverview Medical Center
- JFK University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA071279 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southshore Medical Associates, LLC | Current | Accepting new patients |
Locations
1 Bethany Rd
Ste 35
Hazlet, NJ 07730
Phone (201) 530-1981
Interoperability endpoints
- lxu@1024.mdlanddirect.com
Organizations & group practices 1
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.
-
- Specialist
- Hazlet, NJ
- NPI 1316157464
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1386671071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BETHANY RD",
"address_2": "SUITE 35",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301663",
"telephone_number": "732-888-1203",
"fax_number": "732-888-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BETHANY RD",
"address_2": "SUITE 35",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301663",
"telephone_number": "732-888-1203",
"fax_number": "732-888-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "LIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA071279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P2870156",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7070477",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.