TOSHIHIRO IMAMURA M.D.
NPI 1679921449
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since June 01, 2016PECOS Enrolled
4422 3RD AVE, SBH HEALTH SYSTEM, BRONX, NY 10457(718) 960-9331(718) 960-9418 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Toshihiro Imamura M.d. NPPES

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

TOSHIHIRO IMAMURA M.D. (NPI 1679921449) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679921449
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTOSHIHIRO IMAMURACredential: M.D.
Location Address4422 3RD AVE, SBH HEALTH SYSTEMBronx, NY 10457-2545
Mailing Address4422 3rd Ave, Sbh Health SysytemBronx, NY 10457-2545 · (718) 960-9331 · Fax (718) 960-9418
Fax(718) 960-9418
Sole ProprietorNo
Enumeration DateJune 1, 2016
✔ NPI 1679921449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4422 3RD AVE, Bronx, NY 10457

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toshihiro Imamura M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Toshihiro Imamura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neonatal-Perinatal Medicine
1 PLAINSBORO RD, CHOP CARE NETWORK AT PRINCETON MEDICAL CENTER
Plainsboro, NJ 08536
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Children's Health Care Associates Of New Jersey PC
  • 190 clinicians in this Medicare group
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Dermatology
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457

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 Toshihiro Imamura's NPI number?

The NPI number for Toshihiro Imamura is 1679921449. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Toshihiro Imamura located?

Toshihiro Imamura practices at 4422 3rd Ave Sbh Health System, Bronx, NY 10457. The listed phone number is (718) 960-9331.

What is Toshihiro Imamura's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Toshihiro Imamura enrolled in Medicare?

Yes. Toshihiro Imamura is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Toshihiro Imamura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toshihiro Imamura reassigns Medicare benefits to 2 organizations: Children's Healthcare Associates Of New Jersey, PC (Plainsboro, NJ) and Childrens Health Care Associates, Inc (Philadelphia, PA). Each 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 Toshihiro Imamura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Toshihiro Imamura was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.