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XIAO LI LIN PA
NPI 1265786057
Physician Assistant - Medical in Flushing, NY

Active since November 01, 2012PECOS Enrolled
13620 MAPLE AVE # C702, FLUSHING, NY 11355(347) 368-4288(347) 368-4785 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Xiao Li Lin Pa NPPES

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

XIAO LI LIN PA (NPI 1265786057) is an individual medical provider in Flushing, New York, licensed in New York (016195) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265786057
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameXIAO LI LINCredential: PA
Location Address13620 MAPLE AVE # C702Flushing, NY 11355-5166
Mailing Address13620 Maple Ave # C702Flushing, NY 11355-5166 · (347) 368-4288 · Fax (347) 368-4785
Phone(347) 368-4288
Fax(347) 368-4785
Sole ProprietorYes
Enumeration DateNovember 1, 2012
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1265786057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 016195
13620 MAPLE AVE # C702, Flushing, NY 11355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xiao Li Lin Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

CONRAD LI M.D.
Internal Medicine
13620 MAPLE AVE # C702
FLUSHING, NY 11355
Queens County (347) 368-4288
CONRAD LI INTERNAL MEDICINE PC
Internal Medicine
13620 MAPLE AVE # C702
FLUSHING, NY 11355
Queens County (347) 368-4288

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 Xiao Lin's NPI number?

The NPI number for Xiao Lin is 1265786057. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Where is Xiao Lin located?

Xiao Lin practices at 13620 Maple Ave # C702, Flushing, NY 11355. The listed phone number is (347) 368-4288.

What is Xiao Lin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Xiao Lin enrolled in Medicare?

Yes. Xiao Lin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Xiao Lin was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.