Active NPI
Xuan Gao
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1609343334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 920 48TH St
Brooklyn, NY 11219-2918 - Phone
- (718) 283-7972
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NY | Primary |
Addresses
Primary practice location
920 48TH St
Brooklyn, NY 11219-2918
Mailing address
920 48TH St
Brooklyn, NY 11219-2918
Phone (718) 283-7972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G05087890054922 | Other | NJ | STATE ID |
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": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1609343334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192918",
"telephone_number": "718-283-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192918",
"telephone_number": "718-283-7972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "XUAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "G05087890054922",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.