Jimmy He Medical PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

264102 Issued in NY

Legal business name

JIMMY HE MEDICAL PC

Practice address

3712 Prince St Ste 7D
Flushing, NY 11354-4651

Phone

(718) 886-8826

Fax

(718) 886-8726

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jinghua He, MDNPI 1639330343

Title

President

Phone

(917) 256-9520

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jinghua He, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bayside, NY
  • NPI 1639330343
  Medicare reassignment Authorized official
• Michael Lam, DPT

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Long Island City, NY
  • NPI 1578235677
  Medicare reassignment NPD
• Ivan Rafael Villar Rivera

  • Physical Therapist
  • Flushing, NY
  • NPI 1447882428
  Medicare reassignment NPD
• Emily Meiying Wu, P.A.

  • Physician Assistant
  • Elmhurst, NY
  • NPI 1285921320
  Medicare reassignment
• Yu Hao Cao, NP

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1356048011
  NPD
• Zehui Dong, LAC

  • Acupuncturist
  • Flushing, NY
  • NPI 1952959223
  NPD
• Ying-Chen Chen, P.T.

  • Physical Therapist
  • Astoria, NY
  • NPI 1790133759
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1619213600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21620 28TH AVE BAY BAYSIDE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602618",
            "telephone_number": "917-256-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 7D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544651",
            "telephone_number": "718-886-8826",
            "fax_number": "718-886-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY HE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "JINGHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-256-9520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "264102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jic Acupuncture PLLC
• Paul Andrei Jicman
• Andrea P Jimenez
• Gladys Cecilia Jimenez, MS CCC-SLP
• Tashira Marie Jimenez
• Jin Family Medical PLLC
• Jin Physical Therapy P.C.
• Jin Zhou Neurology, P.C.
• Dan Jin, L. AC.
• Dongji Jin

• Medical Specialty Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.