Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eileen Xie, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104647080

Eileen Xie, CRNP is a Nurse Practitioner in Newark, New Jersey. Qualified in 2024, 2 years ago. Practices with Jls Medical PC, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
2
Licensed in
NJ, PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone: (866) 994-5161
Fax: (877) 485-8918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1030 Kings Hwy N Ste 400, Cherry Hill, NJ 08034-1907 — (866) 994-5161

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15268700 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP030619 (PA)

Record details

NPI number1104647080
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address550 Broad St Ste 606, Newark, NJ 07102-4537

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Jls Medical Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Newark