Individual provider Active NPI

Yingxin Xiao, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1578411724
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
217 Grand St # 5TH
New York, NY 10013-4396
Phone
(212) 966-3585
NPI assigned
Mar 20, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Pediatrics Physician 208000000X 035397 NY

Addresses

Primary practice location

217 Grand St # 5TH
New York, NY 10013-4396

Mailing address

217 Grand St # 5TH
New York, NY 10013-4396

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

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1578411724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GRAND ST # 5TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND ST # 5TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134396",
            "telephone_number": "212-966-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "YINGXIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "035397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.