Xin Guan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004035 Issued in MD

Practice address

310 Rte 24
Chester, NJ 07930-2625

Phone

(908) 879-8800

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jay D Geller MD PCGroup PAC ID 8527166735, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Jay D Geller MD PC

  • Dermatology Physician
  • Chester, NJ
  • NPI 1629197819
  Medicare reassignment Care Compare group
• Israel S Eckman MD LLC

  • Dermatology Physician
  • Towson, MD
  • NPI 1699787549
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1780918706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BURNHAM PKWY",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605031",
            "telephone_number": "410-299-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RTE 24",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302625",
            "telephone_number": "908-879-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Upper Chesapeake Dr",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144324",
            "country_code": "US",
            "telephone_number": "410-643-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAN",
        "first_name": "XIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Goodrich, LAC
• David Goteiner, DDS
• Sara Nicole Graybill
• Elyse Amedeo Greenbaum, LCSW
• Holly Elizabeth Greenberg, MS, RDN
• Charu Gupta, MD
• Antonia Gut, D.D.S.
• Patricia Gwozdz
• Hackettstown Imaging Services LLC
• Mackenzie Haggerty, APN

• Physician Assistant in Chester, NJ
• Providers in Chester, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.