Organization Active NPI

Advancexing Pain and Rehabilitation Clinic PA

  • Physical Medicine & Rehabilitation Physician
  • Newark, DE
National Provider Identifier
1487674982
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ADVANCEXING PAIN AND REHABILITATION CLINIC PA
Practice address
620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130
Phone
(302) 384-7439
Fax
(302) 384-7443
NPI assigned
Jul 20, 2006
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Selina Yingqi Xing, M.D.NPI 1912986522
Title
President
Phone
(302) 384-7439

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130

Mailing address

620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130
Phone (302) 384-7439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041213000359 DE Part B Supplier - Clinic/Group Practice 0648237537 Receives reassigned benefits from 7 practitioners
Practice locations: Hockessin, DE; Newark, DE
O20220729002257 PA Part B Supplier - Clinic/Group Practice 0648237537 Receives reassigned benefits from 1 practitioner
Practice locations: Chester, PA
O20231113000165 DE DME Supplier - Physician - Physical and Rehabilitation 0648237537 Practice locations: Newark, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D1092699Advancexing Pain and Rehabilitation Clinic, PA620 Stanton-Christiana Rd, Newark, DE 19713AccreditationSep 11, 2026

National Provider Directory

National Provider Directory

Locations

2600 W 9th St
Ste E1
Chester, PA 19013
Phone (484) 480-4700

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1487674982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132130",
            "telephone_number": "302-384-7439",
            "fax_number": "302-384-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132130",
            "telephone_number": "302-384-7439",
            "fax_number": "302-384-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEXING PAIN AND REHABILITATION CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "XING",
        "authorized_official_first_name": "SELINA",
        "authorized_official_middle_name": "YINGQI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-384-7439",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.

Verify at the official NPI Registry.