Mandy Xi, PA-C
Physician Assistant in Staten Island, NY. Individual provider (NPI-1).
NPI number1669940896
StatusActive
Last updated in NPPESJul 8, 2026
Details
- NPI
- 1669940896
- Entity type
- Individual (NPI-1)
- Name
- Mandy Xi
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2018
- Certification date
- Jul 8, 2026
- Last updated
- Jul 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 022968 | NY | Yes |
Practice location
2455 Hylan BlvdStaten Island, NY 10306-3146
Phone 718-361-6880
Mailing address
366 5th Ave Fl 4New York, NY 10001-2241
Other practice locations
155 Bay St Apt 2c
Staten Island, NY 10301-2508
Staten Island, NY 10301-2508
Phone 718-290-9788
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