NPIMap

Organization Active NPI

CXC Physician, P.C.

  • Anesthesiology Physician
  • Glen Head, NY
National Provider Identifier
1598703266
Registry record updated Mar 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CXC PHYSICIAN, P.C.
Practice address
9 Mac Lean Dr
Glen Head, NY 11545-3137
Phone
(516) 474-2038
NPI assigned
Jun 3, 2006
Last updated
Mar 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2015

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

Authorized official

Name
Dr. Xiaochang Johhny Chen, M.D.
Title
President
Phone
(516) 474-2038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

9 Mac Lean Dr
Glen Head, NY 11545-3137

Mailing address

9 Mac Lean Dr
Glen Head, NY 11545-3137

Other identifiers 1

IdentifierTypeStateIssuer
02386574MedicaidNY

National Provider Directory

National Provider Directory

Locations

14241 41st Ave
Flushing, NY 11355
Phone (718) 886-6292

332 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-0600

Practitioners & affiliated clinicians

Practitioners 6

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1598703266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAC LEAN DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAC LEAN DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453137",
            "telephone_number": "516-474-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CXC PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "XIAOCHANG",
        "authorized_official_middle_name": "JOHHNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-474-2038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02386574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; 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.