Individual ProviderJonathan XuStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave L. Levy Place, New York City, NY 10029(609) 529-0596PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Xu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1114777349Provider TypeIndividualFull NameXu, JonathanCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/22/2024Last Updated3/22/2024Contact InformationPractice LocationPractice AddressOne Gustave L. Levy Place, New York City, NY 10029Phone(609) 529-0596FaxUnlisted FaxMailing LocationMailing Address19 Heather Ct, Plainsboro, NJ 08536-1947Phone(609) 529-0596FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer