JIMMY HE MEDICAL PC
NPI 1619213600
Clinic/Center - Medical Specialty in Flushing, NY

Q: What is Jimmy He Medical PC's NPI number?

The NPI number for Jimmy He Medical PC is 1619213600. It was assigned to this organization in the NPPES registry on December 18, 2012.

Q: What is Jimmy He Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since December 18, 2012

3712 PRINCE ST STE 7D, FLUSHING, NY 11354(718) 886-8826(718) 886-8726 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jimmy He Medical Pc NPPES

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

JIMMY HE MEDICAL PC (NPI 1619213600) is a healthcare organization registered as a medical specialty in Flushing, New York and active in the NPI registry since December 2012. The organization lists Jinghua He, President, as its authorized official.

NPPES Registry Identity

NPI1619213600

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJIMMY HE MEDICAL PC

Location Address3712 PRINCE ST STE 7DFlushing, NY 11354-4651

Mailing Address21620 28th Ave Bay BaysideBayside, NY 11360-2618 · (917) 256-9520

Phone(718) 886-8826

Fax(718) 886-8726

Organization SubpartNo

Authorized OfficialJinghua HePresident · (917) 256-9520

Enumeration DateDecember 18, 2012

Last NPPES UpdateNovember 4, 2022

NPPES CertifiedNovember 4, 2022

✔ NPI 1619213600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in NY · 264102

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

3712 PRINCE ST STE 7D, Flushing, NY 11354

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jimmy He Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jimmy He Medical PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ivan Rafael Villar Rivera

Physical Therapist in Private Practice

NPI 1447882428

13619 41ST AVE FL 2
Flushing, NY 11355

(718) 886-8826

0.3 mi

Jinghua He, M.D.

Physical Medicine and Rehabilitation

NPI 1639330343

21620 28TH AVE
Bayside, NY 11360

(917) 256-9520

✔ PECOS✔ Accepts Medicare3.5 mi

Michael Lam, DPT

Physical Therapist in Private Practice

NPI 1578235677

3310 QUEENS BLVD STE 301
Long Island City, NY 11101

(800) 905-0513

5.3 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 Jimmy He Medical PC's NPI number?

The NPI number for Jimmy He Medical PC is 1619213600. It was assigned to this organization in the NPPES registry on December 18, 2012.

Where is Jimmy He Medical PC located?

Jimmy He Medical PC is located at 3712 Prince St Ste 7D, Flushing, NY 11354. The listed phone number is (718) 886-8826.

What is Jimmy He Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Jimmy He Medical PC enrolled in Medicare?

Yes. Jimmy He Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jimmy He Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jimmy He Medical PC, in Physical Medicine and Rehabilitation and Physical Therapist in Private Practice. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jimmy He Medical PC was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.