Individual provider Active NPI

Xishan Zhang, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1497819932
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
235330 Issued in NY
Practice address
210 Canal St
Suite 410
New York, NY 10013-4155
Phone
(212) 233-3310
Fax
(212) 233-3390
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 235330 NY
Neurology Physician 2084N0400X 235330 NY Primary

Addresses

Primary practice location

210 Canal St
Suite 410
New York, NY 10013-4155

Mailing address

1037 Cumbermeade Rd
Fort Lee, NJ 07024-4210
Phone (201) 886-1339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xzhang12490@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000041 NY Practitioner - Neurology 4082639778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

17 Elizabeth St
Suite 705
New York, NY 10013-4803
Phone (212) 233-3310

324 E 23Rd St
New York, NY 10010-4701
Phone (212) 589-6000

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2012 Accepting new patients
New York University CurrentSince Jan 1, 2012 Accepting new patients
Comprehensive Neurological Services, P.C. CurrentSince Jul 19, 2007 Accepting new patients

Locations

301 E 17th St
Ste 544
New York, NY 10003
Phone (212) 598-6118

210 Canal St
Rm 410
New York, NY 10013
Phone (212) 233-3310

17 Elizabeth St
Ste 705
New York, NY 10013
Phone (212) 233-3310

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1497819932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 CUMBERMEADE RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244210",
            "telephone_number": "201-886-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CANAL ST",
            "address_2": "SUITE 410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134155",
            "telephone_number": "212-233-3310",
            "fax_number": "212-233-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "XISHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "235330",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "235330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xzhang12490@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "210 Canal St",
            "address_2": "Suite 410",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100134155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.