Priscilla Xu MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038587 Issued in CT

Legal business name

PRISCILLA XU MD LLC

Practice address

22 5TH St
2ND Floor
Stamford, CT 06905-5030

Phone

(203) 324-7761

Fax

(203) 324-5792

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. PO Priscilla Xu, MDNPI 1396764924

Title

Owner

Phone

(203) 324-7761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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

• PO Priscilla Xu, MD

  • Physical Medicine & Rehabilitation Physician
  • Stamford, CT
  • NPI 1396764924
  Medicare reassignment NPD Authorized official
• David M Smolanoff, DC

  • Chiropractor
  • Stamford, CT
  • NPI 1609054402
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1891826053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 5TH ST",
            "address_2": "2ND FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055030",
            "telephone_number": "203-324-7761",
            "fax_number": "203-324-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 5TH ST",
            "address_2": "2ND FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055030",
            "telephone_number": "203-324-7761",
            "fax_number": "203-324-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA XU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "PO",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-324-7761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "038587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yevgeniy Printsev, M.D.
• Elizabeth Prior, LCSW
• Gavin R Pritchard, RD, CDE
• Pro-Vision, Inc. (Cohen's Fashion Optical)
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Orthopedic and Sports Physical Therapy, P.C.

• Medical Specialty Clinic/Center in Stamford, CT
• Providers in Stamford, CT by specialty
• Medical Specialty Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.