Provider Type Icon

LUNA XU M.D. NPI 1558628156


NPI Information

NPI: 1558628156
Provider Name: LUNA XU, M.D.
Classification: Ophthalmology - 207WX0009X
Entity Type: Individual

Specialization: Glaucoma Specialist

Organization: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

PECOS Registration: Yes

Address:
11 RALPH PL STE 311
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 224-2711
Get Directions

Luna Xu, M.D. is a glaucoma specialist ophthalmology in Staten Island, NY with 12 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Luna Xu, M.D. NPI is 1558628156. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2012

The provider's business location address is:

11 RALPH PL STE 311
STATEN ISLAND, NY
ZIP 10304-420
Phone: (718) 224-2711
Fax: (718) 442-3144

The NPI 1558628156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2012 and was last updated on 1/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0009XOphthalmologyGlaucoma Specialist271008NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103821592MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.