Provider Demographics
NPI:1871184002
Name:ZHEN, XIAO-JING (C-NP)
Entity Type:Individual
Prefix:MS
First Name:XIAO-JING
Middle Name:
Last Name:ZHEN
Suffix:
Gender:F
Credentials:C-NP
Other - Prefix:MS
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:ZHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:5002 217TH ST BAY BAYSIDE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1350
Mailing Address - Country:US
Mailing Address - Phone:347-962-0700
Mailing Address - Fax:
Practice Address - Street 1:5002 217TH ST BAY BAYSIDE
Practice Address - Street 2:
Practice Address - City:BAYSIDE HILLS
Practice Address - State:NY
Practice Address - Zip Code:11364-1350
Practice Address - Country:US
Practice Address - Phone:347-962-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-30
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF310090-01207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine