Individual provider Active NPI

Eugenia Yi Tong Xiao, RN

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1619507597
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
310246 Issued in NY
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

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816003625 NY Practitioner - Nurse Practitioner 3072918929 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
779645NYMDRegistered Nurse
310246NYMDPhysical Medicine & Rehabilitation Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Audrey Halpern MD PC CurrentSince Sep 20, 2022 Accepting new patients
Wellness Neurology PC CurrentSince Sep 11, 2022 Accepting new patients
Peiying Medical PC PastSince Aug 26, 2018 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.

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

Verify at the official NPI Registry.