DR. JACK XIE MD
NPI 1720724412
Internal Medicine in Staten Island, NY

Q: What is Jack Xie's NPI number?

The NPI number for Jack Xie is 1720724412. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Q: What is Jack Xie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Xie was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 06, 2022

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(773) 878-8200 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 5, 2023, May 6, 2022 (2 updates tracked since 2022).

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About Dr. Jack Xie Md NPPES

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

DR. JACK XIE MD (NPI 1720724412) is an individual internal medicine provider in Staten Island, New York, licensed in Illinois (125.081855) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1720724412

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACK XIECredential: MD

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 226-9000

Phone(773) 878-8200

Sole ProprietorNo

Enumeration DateMay 6, 2022

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1720724412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125.081855

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

475 SEAVIEW AVE, Staten Island, NY 10305

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Other Providers at the Same Location NPPES 20

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

MRS. DAWN MARIE COTTONE RPA-C

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