Active NPI
Jin Xia
- Registered Dietitian
- Long Island City, NY
National Provider Identifier
1679339949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86378711
- Practice address
- 2717 42ND Rd Apt 14a
Long Island City, NY 11101-4964 - Phone
- (646) 683-9203
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86378711 | NY | Primary |
Addresses
Primary practice location
2717 42ND Rd Apt 14a
Long Island City, NY 11101-4964
Mailing address
383 5TH Ave FL 2
New York, NY 10016-3326
Phone (646) 683-9203
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86378711 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xia Nutrition Wellness, PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
383 5th Ave
Fl 2
New York, NY 10016
Phone (646) 683-9203
Organizations & group practices 1
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": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1679339949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 5TH AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163326",
"telephone_number": "646-683-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 42ND RD APT 14A",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014964",
"telephone_number": "646-683-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIA",
"first_name": "JIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86378711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.