| Jing Xu Md, Pllc | |
| 
					8708 Justice Ave Apt 1e Elmhurst NY 11373-4576  | |
| (718) 683-9106 | |
| (718) 683-9107 | 
| Full Name | Jing Xu Md, Pllc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 8708 Justice Ave Apt 1e, Elmhurst, New York | 
| Authorized Official Name and Position | Jing Xu (MD) | 
| Authorized Official Contact | 7186839106 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jing Xu Md, Pllc 8708 Justice Ave Apt 1e Elmhurst NY 11373-4576 Ph: (718) 683-9106  | Jing Xu Md, Pllc 8708 Justice Ave Apt 1e Elmhurst NY 11373-4576 Ph: (718) 683-9106  | 
| NPI Number | 1346837952 | 
|---|---|
| Provider Enumeration Date | 12/29/2020 | 
| Last Update Date | 04/22/2021 | 
| Medicare PECOS PAC ID | 0547674103 | 
|---|---|
| Medicare Enrollment ID | O20210122001964 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346837952 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Jing Xu | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1326459496 PECOS PAC ID: 4385917319 Enrollment ID: I20170913001230  | 
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