NPIMap

Organization Active NPI

Xie Yi Medical Office, P.C.

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1922427038
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
FX3724956 Issued in NY
Legal business name
XIE YI MEDICAL OFFICE, P.C.
Practice address
139 Centre St
715A
New York, NY 10013-4552
Phone
(917) 639-3284
Fax
(917) 639-3224
NPI assigned
Apr 16, 2014
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. Yi XieNPI 1558688754
Title
MD
Phone
(901) 279-3831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X FX3724956 NY Primary

Addresses

Primary practice location

139 Centre St
715A
New York, NY 10013-4552

Mailing address

139 Centre St
715A
New York, NY 10013-4552
Phone (917) 639-3284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140424001419 NY Part B Supplier - Clinic/Group Practice 0648403824 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

139 Centre St
#715A
New York, NY 10013
Phone (901) 279-3831

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1922427038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "715A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "917-639-3284",
            "fax_number": "917-639-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "715A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "917-639-3284",
            "fax_number": "917-639-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIE YI MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "901-279-3831",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "FX3724956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.