Active NPI
Jie Xu, NURSE PRACTITIONER
- Family Nurse Practitioner
- Flushing, NY
National Provider Identifier
1831878743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F357199-01
- Practice address
- 13668 Roosevelt Ave Ste 5a
Flushing, NY 11354-5510 - Phone
- (718) 268-0878
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 757170-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | F357199-01 | NY | Primary |
Addresses
Primary practice location
13668 Roosevelt Ave Ste 5a
Flushing, NY 11354-5510
Mailing address
13668 Roosevelt Ave Ste 5a
Flushing, NY 11354-5510
Phone (718) 268-0878
Other practice location 1
14355 37th Ave
Flushing, NY 11354-5729
Phone (718) 268-0878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14355 37TH Ave
FL 1
Flushing, NY 11354-5729
3150 140TH St
Apt 3J
Flushing, NY 11354-2105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 757170-01 | NY | MD | Registered Nurse |
| F357199-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J&J Star Medical PLLC | Current | Accepting new patients |
Locations
13668 Roosevelt Ave
Ste 5A
Flushing, NY 11354
Phone (718) 294-4870
Organizations & group practices 1
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Forest Hills, NY
- NPI 1588943047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831878743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13668 ROOSEVELT AVE STE 5A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545510",
"telephone_number": "718-268-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13668 ROOSEVELT AVE STE 5A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545510",
"telephone_number": "718-268-0878"
}
],
"practiceLocations": [
{
"address_1": "14355 37th Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113545729",
"country_code": "US",
"telephone_number": "718-268-0878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "XU",
"first_name": "JIE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "757170-01",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F357199-01",
"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 Sep 11, 2025; 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.