Dr. Jack Xie, MD
Dr. Jack Xie, MD is an Internal Medicine Physician in Staten Island, New York. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
475 Seaview AveStaten Island, NY 10305-3436
Phone: (773) 878-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 125.081855 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1720724412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 6, 2022 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |
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