Individual provider Active NPI

Shoua Xiong

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1619417805
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382745 Issued in NY
Practice address
160 E 32ND St FL 3
New York, NY 10016-6004
Phone
(952) 463-0635
NPI assigned
Mar 7, 2017
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382745 NY Primary

Addresses

Primary practice location

160 E 32ND St FL 3
New York, NY 10016-6004

Mailing address

160 E 32ND St FL 3
New York, NY 10016-6004
Phone (952) 463-0635

Other practice location 1

161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-7212

Other practice location 2

201 Lyons Ave Ste L5
Newark, NJ 07112-2027
Phone (973) 926-7161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sxiong516119@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181106002503 NJ Practitioner - Nurse Practitioner 7810241023
I20210412001553 NY Practitioner - Nurse Practitioner 7810241023 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2022 Accepting new patients
New York University CurrentSince Sep 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Feb 13, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Feb 13, 2021 Accepting new patients
Barnabas Health Medical Group PC Past Accepting new patients
Chinatown Global Pediatrics P.C. Past Accepting new patients
Barnabas Health Medical Group PC PastSince Jun 1, 2017 Accepting new patients

Locations

400 Kelby St
Fort Lee, NJ 07024
Phone (212) 304-6309

201 Lyons Ave
Ste C9
Newark, NJ 07112
Phone (973) 926-7203

201 Lyons Ave
Ste L5
Newark, NJ 07112
Phone (973) 926-3500

160 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 263-5940

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: sxiong516119@nyumc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1619417805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "952-463-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "952-463-0635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323729",
            "country_code": "US",
            "telephone_number": "212-305-7212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lyons Ave Ste L5",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "SHOUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sxiong516119@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "160 E 32nd St Fl 3",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166004",
            "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.