XIN CHEN MD
NPI 1104403351
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
101 NICHOLLS RD, STONY BROOK, NY 11794(631) 444-2968 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Xin Chen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

XIN CHEN MD (NPI 1104403351) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2021).

NPPES Registry Identity

NPI1104403351
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameXIN CHENCredential: MD
Location Address101 NICHOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicholls RdStony Brook, NY 11794-0001
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2021
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1104403351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICHOLLS RD, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Xin Chen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012404726
PECOS Enrollment IDI20251016000564
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
101 NICHOLLS RD, STONY BROOK UNIVERSITY MEDICAL CENTER LEVEL2-766
STONY BROOK, NY 11794
Emergency Medicine
101 NICHOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICHOLLS RD, SBUH, PALLIATIVE CARE SERVICE- HSC LEVEL T-15, RM.053
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICHOLLS RD
STONY BROOK, NY 11794
Physician Assistant
101 NICHOLLS RD
STONY BROOK, NY 11794
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
101 NICHOLLS RD
STONY BROOK, NY 11794
Emergency Medicine
101 NICHOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Psychiatric/Mental Health)
101 NICHOLLS RD
STONY BROOK, NY 11794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Xin Chen's NPI number?

The NPI number for Xin Chen is 1104403351. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Xin Chen located?

Xin Chen practices at 101 Nicholls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-2968.

What is Xin Chen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Xin Chen enrolled in Medicare?

Yes. Xin Chen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Xin Chen affiliated with any hospitals?

According to CMS data, Xin Chen is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Xin Chen was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.