Individual provider Active NPI

Xiaoyin Sun, O.D.

  • Optometrist
  • Plainsboro, NJ
National Provider Identifier
1790098705
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00626100 Issued in NJ
Practice address
6 Market St
Suite 920
Plainsboro, NJ 08536-2096
Phone
(609) 799-1219
Fax
(609) 799-1235
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00626100 NJ Primary

Addresses

Primary practice location

6 Market St
Suite 920
Plainsboro, NJ 08536-2096

Mailing address

3 Market St Ste 402
Plainsboro, NJ 08536-2080
Phone (609) 799-1219

Other identifiers 1

IdentifierTypeStateIssuer
1790098705OtherNATIONAL PROVIDER IDENTIFIER

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000481 NJ Practitioner - Optometry 6305032376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Market St
Plainsboro, NJ 08536-2096
Phone (201) 779-8966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00626100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Changmin Duan OD PA Optometrist PastSince Aug 1, 2011 Accepting new patients

Organizations & group practices 2

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1790098705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARKET ST STE 402",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362080",
            "telephone_number": "609-799-1219",
            "fax_number": "609-799-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MARKET ST",
            "address_2": "SUITE 920",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362096",
            "telephone_number": "609-799-1219",
            "fax_number": "609-799-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "XIAOYIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00626100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1790098705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.