Organization Active NPI

GXJ Medical Healthcare PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1780111260
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GXJ MEDICAL HEALTHCARE PC
Practice address
13668 Roosevelt Ave Unit 5D
Flushing, NY 11354-5510
Phone
(718) 749-4570
NPI assigned
May 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

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

Authorized official

Name
Dr. Xiaojun Guo, MDNPI 1427269257
Title
President
Phone
(718) 285-9688

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13668 Roosevelt Ave Unit 5D
Flushing, NY 11354-5510

Mailing address

43 Arleigh Rd
Great Neck, NY 11021-1326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920002776 NY Part B Supplier - Clinic/Group Practice 1850665456 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY; Great Neck, NY

National Provider Directory

National Provider Directory

Locations

13668 Roosevelt Ave
Ste 5D
Flushing, NY 11354
Phone (718) 285-9688

13668 Roosevelt Ave
Flushing, NY 11354
Phone (646) 683-8255

45 N Station Plz
Ste 214
Great Neck, NY 11021
Phone (718) 285-9688

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574553600000",
    "number": "1780111260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ARLEIGH RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE UNIT 5D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "718-749-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GXJ MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2019-11-24",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "XIAOJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-285-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.