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PRO ACTIVE HEALTH CARE INTERNAL MEDICINE PC
NPI 1366690307
Clinic/Center in New Hyde Park, NY

Active since September 03, 2008
2001 MARCUS AVE, SUITE E240, NEW HYDE PARK, NY 11042(516) 502-2308(516) 673-4804 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pro Active Health Care Internal Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO ACTIVE HEALTH CARE INTERNAL MEDICINE PC (NPI 1366690307) is a healthcare organization registered as a clinic/center in New Hyde Park, New York and active in the NPI registry since September 2008. The organization lists Jocelyn Macasaet Cervantes, President, as its authorized official.

NPPES Registry Identity

NPI1366690307
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRO ACTIVE HEALTH CARE PC MEDICAL
Location Address2001 MARCUS AVE, SUITE E240New Hyde Park, NY 11042-1011
Mailing Address2001 Marcus Ave, Suite E240New Hyde Park, NY 11042-1011 · (516) 502-2308 · Fax (516) 673-4804
Phone(516) 502-2308
Fax(516) 673-4804
Organization SubpartNo
Authorized OfficialJocelyn Macasaet CervantesPresident · (516) 502-2308
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJuly 15, 2010
✔ NPI 1366690307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 182681
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2001 MARCUS AVE, New Hyde Park, NY 11042
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Other Names 1

Doing Business AsPro Active Health Care Internal Medicine Pc

Other Identifiers 1

Medicare UPINE82400NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pro Active Health Care Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pro Active Health Care Internal Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jocelyn Cervantes, M.D.
Internal Medicine
NPI 1700832250
2035 LAKEVILLE RD
New Hyde Park, NY 11040
(718) 343-0600
✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Active Health Care PC Medical's NPI number?

The NPI number for Pro Active Health Care PC Medical is 1366690307. It was assigned to this organization in the NPPES registry on September 3, 2008. The provider is doing business as Pro Active Health Care Internal Medicine PC.

Where is Pro Active Health Care PC Medical located?

Pro Active Health Care PC Medical is located at 2001 Marcus Ave Suite E240, New Hyde Park, NY 11042. The listed phone number is (516) 502-2308.

What is Pro Active Health Care PC Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Pro Active Health Care PC Medical enrolled in Medicare?

Yes. Pro Active Health Care PC Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Active Health Care PC Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pro Active Health Care PC Medical. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pro Active Health Care PC Medical was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.