Xinjun Tu, O.M.D

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

000455 DUP Issued in NY

Practice address

225 Dolson Ave
Suite 402
Middletown, NY 10940-6569

Phone

(845) 344-1110

Fax

(845) 344-1833

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jun Tu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689889529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 STONE CREST DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502632",
            "telephone_number": "845-238-3085",
            "fax_number": "845-344-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DOLSON AVE",
            "address_2": "SUITE 402",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406569",
            "telephone_number": "845-344-1110",
            "fax_number": "845-344-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "XINJUN",
        "name_prefix": "Dr.",
        "credential": "O.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000455 DUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUN",
            "last_name": "TU",
            "prefix": "DR.",
            "credential": "O.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Acupuncturist in Middletown, NY
• Providers in Middletown, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.