Jingbo Zhao, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

257808 Issued in NY

Practice address

4316 215TH St Apt 1
Bayside, NY 11361-2976

Phone

(718) 224-0120

Fax

(718) 224-0130

NPI assigned

Sep 8, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: General Practice, Preventive Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: jzhao@1966.mdlanddirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harbin Medical Care PLLC

  • Internal Medicine Physician
  • Bayside, NY
  • NPI 1649527177
  Medicare reassignment NPD Authorized official
• Healthland Medical Care PLLC

  • Clinic/Center
  • Flushing, NY
  • NPI 1790027985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1265749550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 HARBOR POINT RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105140",
            "telephone_number": "212-379-6996",
            "fax_number": "212-379-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 215TH ST APT 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612976",
            "telephone_number": "718-224-0120",
            "fax_number": "718-224-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "JINGBO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03338103",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "60257808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Elissa Zeifman, D.D.S, M.S
• Panagiotis Zenetos, M.D.
• Daheng Zhang
• Lili Zhang
• Ziying Zhang
• Yiying Zhao, L.AC
• Kelly Zheng
• Vivian Zheng
• Wanhua Zhong, REGISTERED NURSE
• Feng Zhou

• Internal Medicine Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.