Individual provider Active NPI

Xiaomeng Du, FNP-BC

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1548734833
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343692-1 Issued in NY
Practice address
13545 Roosevelt Ave # 8G
Flushing, NY 11354-5336
Phone
(917) 943-6193
NPI assigned
Jan 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343692-1 NY Primary

Addresses

Primary practice location

13545 Roosevelt Ave # 8G
Flushing, NY 11354-5336

Mailing address

13545 Roosevelt Ave # 8G
Flushing, NY 11354-5336
Phone (917) 943-6193

Other practice location 1

13545 Roosevelt Ave # 8G
Flushing, NY 11354-5336
Phone (917) 943-6193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F343692-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Emergency Medical Associates PLLC CurrentSince May 30, 2019 Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

Interoperability endpoints

  • Direct secure messaging: xid9002@direct.nyp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1548734833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13545 ROOSEVELT AVE # 8G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545336",
            "telephone_number": "917-943-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13545 ROOSEVELT AVE # 8G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545336",
            "telephone_number": "917-943-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13545 Roosevelt Ave # 8G",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545336",
            "country_code": "US",
            "telephone_number": "917-943-6193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DU",
        "first_name": "XIAOMENG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343692-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.