Organization Active NPI

Dr. Xu S Comprehensive Medical PLLC

  • Physical Disabilities Residential Treatment Facility
  • Flushing, NY
National Provider Identifier
1427313170
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
260294 Issued in NY
Legal business name
DR. XU S COMPREHENSIVE MEDICAL PLLC
Practice address
14228 37TH Ave Apt M1
Flushing, NY 11354-4374
Phone
(718) 463-1133
Fax
(718) 463-6392
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mingxu Xu, MDNPI 1174820476
Title
Owner
Phone
(718) 463-1133

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)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 260294 NY Primary

Addresses

Primary practice location

14228 37TH Ave Apt M1
Flushing, NY 11354-4374

Mailing address

14228 37TH Ave Apt M1
Flushing, NY 11354-4374
Phone (718) 463-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120815000041 NY Part B Supplier - Clinic/Group Practice 3779739362 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Flushing, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1427313170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14228 37TH AVE APT M1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544374",
            "telephone_number": "718-463-1133",
            "fax_number": "718-463-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14228 37TH AVE APT M1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544374",
            "telephone_number": "718-463-1133",
            "fax_number": "718-463-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. XU S COMPREHENSIVE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MINGXU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-463-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "260294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.