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

Mr. Jack Xie

Individual provider Physician Assistant · NPI 1831466259

Mr. Jack Xie is a Physician Assistant in New York, New York. Qualified in 2011, 15 years ago. Practices with Fpa Hospital Based, a 422-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

1000 10th Ave
New York, NY 10019-1147
Phone: (212) 523-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015291 (NY)

Record details

NPI number1831466259
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2011
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Fpa Hospital Based — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Fpa Hospital Based

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 422 clinicians in the practice; 12 are shown here.

Other providers in New York