Active NPI
Eugenia Yi Tong Xiao, RN
- Primary Care Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1619507597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 310246
- Practice address
- 717 56TH St
Brooklyn, NY 11220-3503 - Phone
- (718) 618-7150
- NPI assigned
- Jan 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 779645 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | 310246 | NY | Primary |
Addresses
Primary practice location
717 56TH St
Brooklyn, NY 11220-3503
Mailing address
90 Furman St Apt 526
Brooklyn, NY 11201-7083
Phone (718) 419-6318
Other practice location 1
108 W 39th St Rm 405
New York, NY 10018-3649
Phone (646) 559-4659
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eugeniax@mchnnyc.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 779645 | NY | MD | Registered Nurse |
| 310246 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audrey Halpern MD PC | Current | Accepting new patients | |
| Wellness Neurology PC | Current | Accepting new patients | |
| Peiying Medical PC | Past | Accepting new patients |
Locations
108 W 39th St
Rm 405
New York, NY 10018
Phone (646) 559-4659
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 4
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.
-
- Specialist
- Brooklyn, NY
- NPI 1730322645
-
- Neurology Physician
- New York, NY
- NPI 1194045930
-
- Neurology Physician
- New York, NY
- NPI 1982325692
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1154802239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1619507597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 FURMAN ST APT 526",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112017083",
"telephone_number": "718-419-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 56TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203503",
"telephone_number": "718-618-7150"
}
],
"practiceLocations": [
{
"address_1": "108 W 39th St Rm 405",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100183649",
"country_code": "US",
"telephone_number": "646-559-4659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "XIAO",
"first_name": "EUGENIA",
"middle_name": "YI TONG",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "779645",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "310246",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eugeniax@mchnnyc.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "108 W 39th St Rm 405",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100183649",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.