Organization Active NPI

Xin Quan Medical Rehabilitation and Acupuncture, PLLC

  • Physical Medicine & Rehabilitation Physician
  • White Plains, NY
National Provider Identifier
1912904269
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
220271 Issued in NY
Legal business name
XIN QUAN MEDICAL REHABILITATION AND ACUPUNCTURE, PLLC
Practice address
33 Baker Avenue
Prof. Unite # 2
White Plains, NY 10601-1635
Phone
(914) 285-3480
Fax
(914) 285-3479
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Xin Quan
Title
MD
Phone
(914) 285-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 220271 NY Primary

Addresses

Primary practice location

33 Baker Avenue
Prof. Unite # 2
White Plains, NY 10601-1635

Mailing address

33 Baker Avenue
Prof. Unite #2
White Plains, NY 10601-1635
Phone (914) 285-3480

Other identifiers 2

IdentifierTypeStateIssuer
7117637OtherNYAETNA
2465872OtherNYUNITED HEALTH CARE

National Provider Directory

National Provider Directory

Locations

12 Greenridge Ave
Ste 301A
White Plains, NY 10605
Phone (914) 285-3480

33 Barker Ave
Ste 2
White Plains, NY 10601
Phone (914) 285-3480

Practitioners & affiliated clinicians

Practitioners 1

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1912904269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BAKER AVENUE",
            "address_2": "PROF. UNITE #2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011635",
            "telephone_number": "914-285-3480",
            "fax_number": "914-285-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BAKER AVENUE",
            "address_2": "PROF. UNITE # 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011635",
            "telephone_number": "914-285-3480",
            "fax_number": "914-285-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIN QUAN MEDICAL REHABILITATION AND ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "XIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-285-3480"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "220271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7117637",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2465872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.