Organization Active NPI

Xiaoxia Zhang MD PC

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1700979317
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225875 Issued in NY
Legal business name
XIAOXIA ZHANG MD PC
Practice address
39-07 Prince Street
Suite 6H
Flushing, NY 11354
Phone
(718) 886-8718
Fax
(718) 886-8780
NPI assigned
Oct 2, 2006
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Xiaoxia ZhangNPI 1134316938
Title
President
Phone
(718) 886-8718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 225875 NY Primary

Addresses

Primary practice location

39-07 Prince Street
Suite 6H
Flushing, NY 11354

Mailing address

39-07 Prince Street
Suite 6H
Flushing, NY 11354
Phone (718) 886-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000402 NY Part B Supplier - Clinic/Group Practice 5890746168 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1016337Xiaoxia Zhang MD PC39-07 Prince Street, Suite 6 H, Flushing, NY 11354Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory

Locations

3907 Prince St
Ste 6H
Flushing, NY 11354
Phone (718) 886-8718

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEJAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1700979317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39-07 PRINCE STREET",
            "address_2": "SUITE 6H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-8718",
            "fax_number": "718-886-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-07 PRINCE STREET",
            "address_2": "SUITE 6H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-8718",
            "fax_number": "718-886-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIAOXIA ZHANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "XIAOXIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-8718"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.