Active NPI
Xiao Qiu Qu
- Specialist
- Farmingdale, NY
National Provider Identifier
1396187134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 851574
- Practice address
- 500 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3988 - Phone
- (516) 753-6507
- NPI assigned
- Jul 22, 2013
- Last updated
- Apr 13, 2026
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 851574 | NY | Primary |
Addresses
Primary practice location
500 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3988
Mailing address
28 Stuart Dr
Syosset, NY 11791-5125
Phone (917) 887-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | NY | EDUCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 851574 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1396187134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 STUART DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915125",
"telephone_number": "917-887-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BI COUNTY BLVD",
"address_2": "SUITE 114",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117353988",
"telephone_number": "516-753-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QU",
"first_name": "XIAO QIU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "851574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATION",
"identifier": "174400000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.